Active NPI
Paula G Carson DDS PC
- Dentist
- Detroit, MI
National Provider Identifier
1417223298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901015644
- Legal business name
- PAULA G CARSON DDS PC
- Practice address
- 18616 W McNichols Rd
Detroit, MI 48219-4160 - Phone
- (313) 532-1115
- NPI assigned
- Mar 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paula G Carson, DDS
- Title
- Owner
- Phone
- (313) 532-1115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901015644 | MI | Primary |
Addresses
Primary practice location
18616 W McNichols Rd
Detroit, MI 48219-4160
Mailing address
18616 W McNichols Rd
Detroit, MI 48219-4160
Phone (313) 532-1115
National Provider Directory
National Provider DirectoryLocations
18616 W McNichols Rd
Detroit, MI 48219
Phone (313) 532-1115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332806400000",
"number": "1417223298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18616 W MCNICHOLS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482194160",
"telephone_number": "313-532-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18616 W MCNICHOLS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482194160",
"telephone_number": "313-532-1115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAULA G CARSON DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-27",
"last_updated": "2012-03-27",
"status": "A",
"authorized_official_last_name": "CARSON",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-532-1115",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "MI",
"license": "2901015644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.