Kurt K Carlson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019019056 Issued in IL

Practice address

135 N Addison Ave
Suite D
Elmhurst, IL 60126-2857

Phone

(630) 279-7135

Fax

(630) 279-7788

NPI assigned

Jun 28, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214611200000",
    "number": "1326200528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N ADDISON AVE",
            "address_2": "SUITE D",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262857",
            "telephone_number": "630-279-7135",
            "fax_number": "630-279-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N ADDISON AVE",
            "address_2": "SUITE D",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262857",
            "telephone_number": "630-279-7135",
            "fax_number": "630-279-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KURT",
        "middle_name": "K",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-28",
        "last_updated": "2008-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Campbell
• Alvaro Candel, M.D.
• Juanito Camara Capuno Jr., PT
• Care Medical Supplies Inc
• Caremed Solutions LLC
• Osvaldo Carnalla Jr.
• Tiana Carrillo Calderon, M.D.
• Samantha Carteno
• Susan A Carter, M.S., OTR/L
• Madison Cartier

• General Practice Dentistry in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.