John David Carlson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC2796 Issued in TX

Practice address

6905 W Gate Blvd Ste a
Austin, TX 78745-5141

Phone

(512) 447-9093

Fax

(512) 447-3366

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Carlson Chiropractic Center

  • Chiropractor
  • Austin, TX
  • NPI 1861595019
  NPD (past) Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1497773253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 W GATE BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455141",
            "telephone_number": "512-447-9093",
            "fax_number": "512-447-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 W GATE BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455141",
            "telephone_number": "512-447-9093",
            "fax_number": "512-447-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC2796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMC PAYOR NUMBER",
            "identifier": "00U37E",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Holden Carlson, LCSW
• Audrey Carlson, LMFT
• Barbara Carlson
• Ellese Carlson
• Jan Carlson, L.P.C.
• Kyla M. Carlson, CPNP
• Lindsay Carlson, PHARMD
• Lisa Pitzer Carlson, RPH
• Matthew Michael Carlson
• Rachel Carlson, MD

• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.