Active NPI
Diane Kristy Carlson, D.C.
- Chiropractor
- Sedona, AZ
National Provider Identifier
1447433834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7034
- Practice address
- 2530 W State Route 89a Ste B1
Sedona, AZ 86336-5259 - Phone
- (928) 862-4333
- Fax
- (928) 862-4334
- NPI assigned
- Dec 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7034 | AZ | Primary |
Addresses
Primary practice location
2530 W State Route 89a Ste B1
Sedona, AZ 86336-5259
Mailing address
190 W State Route 89a Unit 10580
Sedona, AZ 86336-6135
Phone (928) 862-4333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7034 | AZ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dahl Chiropractic Clinics | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Flagstaff, AZ
- NPI 1891549218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1447433834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 W STATE ROUTE 89A UNIT 10580",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863366135",
"telephone_number": "928-862-4333",
"fax_number": "928-862-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 W STATE ROUTE 89A STE B1",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365259",
"telephone_number": "928-862-4333",
"fax_number": "928-862-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "DIANE",
"middle_name": "KRISTY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-09",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.