Derek K. Carson DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DEREK K. CARSON DDS INC.

Practice address

126 W Deodar Ave
Oxnard, CA 93030

Phone

(805) 983-0717

Fax

(805) 247-0053

NPI assigned

Nov 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Derek K Carson, DDSNPI 1962622266

Title

Owner

Phone

(805) 983-0717

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.

• Derek Kleker Carson, DDS

  • Dentist
  • Oxnard, CA
  • NPI 1962622266
  NPD (past) Authorized official
• Leroy Kleker Carson, DDS

  • Dentist
  • Oxnard, CA
  • NPI 1578783866
  NPD (past)

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1437627460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 DEODAR AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930304927",
            "telephone_number": "805-983-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W DEODAR AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93030",
            "telephone_number": "805-983-0717",
            "fax_number": "805-247-0053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 E Daily Dr",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930105803",
            "country_code": "US",
            "telephone_number": "805-987-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEREK K. CARSON DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-983-0717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romany F. Demian, M.D.
• Sarah Nicole Dempsey, DPT
• Gabriela Dena
• Guadalupe E. Denette
• Joanne Deprisco, P.A.
• Dermatology Medical Group of Oxnard and Camarillo
• Willis Derring
• Rachel June Detrie
• Anne Nicole Deukmedjian, PHARM.D.
• David Deutsch, B.A., CATC

• Dental Clinic/Center in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.