Active NPI
John F Carlson, DO
- Family Medicine Physician
- Claremont, NH
National Provider Identifier
1447218227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12567
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9702264 | Other | NH | CIGNA |
| 30223951 | Medicaid | NH | |
| 4147509 | Other | NH | MVP |
| 1012202 | Medicaid | VT |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140122001117 | NH | Order and Referring Only - Family Practice | 6204841711 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12567 | NH | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.