Individual provider Active NPI

Diane Kristy Carlson, D.C.

  • Chiropractor
  • Sedona, AZ
National Provider Identifier
1447433834
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7034 Issued in AZ
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

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
7034AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.