Julia E. Carlson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37197 Issued in CA

Practice address

2580 Kiowa Blvd N
Lake Havasu City, AZ 86403-2551

Phone

(928) 566-4791

Fax

(928) 566-4791

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• S Lee Dental Corporation

  • Dentist
  • Crestline, CA
  • NPI 1376793133
  NPD (past)
• S Lee Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Crestline, CA
  • NPI 1801553540
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1497818652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 KIOWA BLVD N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864032551",
            "telephone_number": "928-566-4791",
            "fax_number": "928-566-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 KIOWA BLVD N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864032551",
            "telephone_number": "928-566-4791",
            "fax_number": "928-566-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JULIA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiac and Vascular Associates LLC
• Cardiovascular and Thoracic Solutions PLLC
• Caring Corners, Inc.
• Caring Hearts Assistant Services, LLC
• Jeffrey Jay Carls, MD
• Samuel Carpenter, LMT
• Jeffery Alan Carver, DDS
• Louise Catapano
• Roxanne Jean Cedor, P.T., DPT
• Stephanie Rose Centera, SLP

• General Practice Dentistry in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.