Wesley Kristopher Karlson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

8690540-9921 Issued in UT

Practice address

4431 68TH St
Fort Hood, TX 76544

Phone

(254) 287-2705

NPI assigned

Jul 5, 2013

Sex

Male

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jan 21, 2021 through Jan 21, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Madsen, Maxfield, Karlson, Clements, McManamon, PLLC

  • General Practice Dentistry
  • Kennewick, WA
  • NPI 1811845308
  NPD (past)
• Penttila Schroeder Maxfield,DDS, PS

  • General Practice Dentistry
  • West Richland, WA
  • NPI 1619915394
  NPD (past)

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1346680337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 68TH ST",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-287-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 68TH ST",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-287-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLSON",
        "first_name": "WESLEY",
        "middle_name": "KRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "8690540-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Igor Kamlo Bakonga
• Craig Kampfer, MD
• Deborah Kanewske-Van Orden, LCSW
• Ryan S Kang, DMD
• Jacob Nicholas Karem, DMD
• Katherine Ann Kasarjian, LMSW
• Carl Kay, MD
• Jennifer Audrey Keck-Wherley, M.D.
• David Wayne Kelley, LCSW
• Bridget Lynell Kelly, RN

• All providers in Fort Hood, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.