Annaliese Carlsmith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58483 Issued in CA

Practice address

256 N San Mateo Dr
Suite 4
San Mateo, CA 94401-2624

Phone

(650) 342-5721

Fax

(650) 342-8626

NPI assigned

Nov 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 15, 2019 through Nov 15, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gordon Nagare DDS Inc

  • General Practice Dentistry
  • San Mateo, CA
  • NPI 1508976853
  NPD (past)

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1497083778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 N SAN MATEO DR",
            "address_2": "SUITE 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012624",
            "telephone_number": "650-342-5721",
            "fax_number": "650-342-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 N SAN MATEO DR",
            "address_2": "SUITE 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012624",
            "telephone_number": "650-342-5721",
            "fax_number": "650-342-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSMITH",
        "first_name": "ANNALIESE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58483",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiac Imaging Consultants Medical Group, Inc.
• Carli Cardwell
• Caremo Plus LLC
• Carepoint Home Health Inc.
• Careway Healthcare Inc
• Kathleen Carlson, MFT
• Daniela Carmona
• Marilyn Ida Carmona, DC
• Aliya Josephine Carnecer
• Elizabeth Carner

• General Practice Dentistry in San Mateo, CA
• Providers in San Mateo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.