R Christopher Carson DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20891 Issued in OH

Legal business name

R CHRISTOPHER CARSON DDS, INC

Doing business as

Dental Health Group of Chagrin

Practice address

8505 Tanglewood SQ Ste T17
Chagrin Falls, OH 44023-6400

Phone

(440) 543-1234

Fax

(440) 543-1205

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald C Carson, DDS

Title

President, DDS

Phone

(440) 543-1234

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dental Health Group of Chagrin Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Carson Family Dentistry LLC

  • General Practice Dentistry
  • Beachwood, OH
  • NPI 1205326162
  NPPES parent name

Practitioners 2

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

• R Christopher Carson, DDS

  • General Practice Dentistry
  • Chagrin Falls, OH
  • NPI 1134172828
  NPD (past)
• John E Wolfe, DDS

  • Dentist
  • Beachwood, OH
  • NPI 1770659690
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1407809007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 TANGLEWOOD SQ STE T17",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440236400",
            "telephone_number": "440-543-1234",
            "fax_number": "440-543-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 TANGLEWOOD SQ STE T17",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440236400",
            "telephone_number": "440-543-1234",
            "fax_number": "440-543-1205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24300 Chagrin Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225629",
            "country_code": "US",
            "telephone_number": "216-464-0442",
            "fax_number": "877-585-1715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "R CHRISTOPHER CARSON DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT, DDS",
        "authorized_official_telephone_number": "440-543-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0248269",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2193246",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Health Group of Chagrin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Pain Solutions
• Peter Paul Preneta
• Cynthia A Priola, AESTHETIC SPECIALIST
• Katlin Queen
• Tara Quinn
• Monica Marie Radu, RN, CPN
• Bonita Marie Ramaska, APRN,CNP-F
• Kristen M Rankin
• Cynthia Reagan
• Francis X Reagan

• General Practice Dentistry in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.