Active NPI
Karl C Carlson Jr., CP, BOCOP, CPT
- Prosthetic/Orthotic Supplier
- Roanoke Rapids, NC
National Provider Identifier
1497711717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- 725 Hamilton Street
Suite D
Roanoke Rapids, NC 27870-2746 - Phone
- (910) 391-3782
- Fax
- (252) 535-0078
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
725 Hamilton Street
Suite D
Roanoke Rapids, NC 27870-2746
Mailing address
PO Box 638
Roanoke Rapids, NC 27870-0638
Phone (910) 391-3782
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047C0 | Other | NC | BLUE CROSS & BLUE SHIELD |
| 7704534 | Medicaid | NC |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1497711717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 638",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278700638",
"telephone_number": "910-391-3782",
"fax_number": "252-535-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 HAMILTON STREET",
"address_2": "SUITE D",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278702746",
"telephone_number": "910-391-3782",
"fax_number": "252-535-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "KARL",
"middle_name": "C",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CP, BOCOP, CPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "047C0",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7704534",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke Rapids, NC
- Marco Antonio Caceres Sr., MD
- Julie Ann Campbell-Barnes, FNP-C
- John Eric Campbell, CRNA
- Carelink Home Health Services, LLC
- Brandon Colby Carlisle, PA-C
- Carolina Behavioral Care
- Carolina Behavioral Care
- Carolina Care of Halifax, LLC
- Carolina Otolaryngology Consultants
- Carolina Otolaryngology Consultants PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.