Dr. Daniel W. Carlson D.D.S., Dentistry Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M409 Issued in SD

Legal business name

DR. DANIEL W. CARLSON D.D.S., DENTISTRY INC.

Practice address

102 22ND Ave S
Brookings, SD 57006-2654

Phone

(605) 697-6212

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Danielw William Carlson, D.D.S.

Title

Doctor of Dental Surgery

Phone

(605) 697-6212

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel William Carlson, DDS

  • Dentist
  • Brookings, SD
  • NPI 1528173085
  NPD (past)
• Bradley David Jordan, D.D.S.

  • Dentist
  • Brookings, SD
  • NPI 1841553708
  NPD (past)

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1366835019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22089 471ST AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570067139",
            "telephone_number": "605-695-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062654",
            "telephone_number": "605-697-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DANIEL W. CARLSON D.D.S., DENTISTRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DANIELW",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DOCTOR OF DENTAL SURGERY",
        "authorized_official_telephone_number": "605-697-6212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra B. Diedrich, LPC, LPC-MH
• Carla Dieter, CNP
• Jeanine Rae Dodson, M.T.
• Dr Paul J Meyer PC
• Dr. Chad D. Kalil, Optometrist P.C.
• Dr. David M. Meyer, PC
• Deborah Kay Dyer, MS, LPC, NCC
• East Central Mental Health & Chemical Dependency Center
• Edgewood Greenleaf Brookings LLC
• Lori Kay Egeberg, DISPENSING OPTICIAN

• General Practice Dentistry in Brookings, SD
• Providers in Brookings, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.