Individual provider Active NPI

John F Carlson, DO

  • Family Medicine Physician
  • Claremont, NH
National Provider Identifier
1447218227
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12567 Issued in NH
Practice address
5 Dunning St
Claremont, NH 03743-2070
Phone
(603) 542-2571
Fax
(603) 542-3550
NPI assigned
May 2, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12567 NH Primary

Addresses

Primary practice location

5 Dunning St
Claremont, NH 03743-2070

Mailing address

5 Dunning St
Claremont, NH 03743-2070
Phone (603) 542-2571

Other identifiers 4

IdentifierTypeStateIssuer
9702264OtherNHCIGNA
30223951MedicaidNH
4147509OtherNHMVP
1012202MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140122001117 NH Order and Referring Only - Family PracticePractitioner - Family Practice 6204841711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12567NHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447218227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DUNNING ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432070",
            "telephone_number": "603-542-2571",
            "fax_number": "603-542-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DUNNING ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432070",
            "telephone_number": "603-542-2571",
            "fax_number": "603-542-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "12567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9702264",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30223951",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4147509",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012202",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, NH

Sources for this page

Verify at the official NPI Registry.