John Carlson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1107 Issued in SD

Practice address

915 Mt View Rd
Rapid City, SD 57702-3414

Phone

(605) 755-7200

Fax

(605) 755-7318

NPI assigned

Nov 4, 2015

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1376916908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MT VIEW RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023414",
            "telephone_number": "605-755-7200",
            "fax_number": "605-755-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MT VIEW RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023414",
            "telephone_number": "605-755-7200",
            "fax_number": "605-755-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "1107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caringedge Hospice of Rapid City LLC
• Carl R. Stonecipher DDS
• Mackenzie Carlbom
• Ruth Carley
• Gary L Carlson, MD
• Cortney Carmody
• Isabel E Caro
• Nicole Joleen Caroline, RDH
• Cecile Caron
• Daniel Caron

• All providers in Rapid City, SD
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.