Organization Active NPI

Frederick Reese Carlin Jr DDS Inc

  • General Practice Dentistry
  • Weaverville, CA
National Provider Identifier
1639307465
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25244 Issued in CA
Legal business name
FREDERICK REESE CARLIN JR DDS INC
Practice address
100 Horseshoe Lane
Weaverville, CA 96093
Phone
(530) 623-8888
NPI assigned
Jul 1, 2009
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Fred Carlin, DDS
Title
Pres
Phone
(530) 623-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25244 CA Primary

Addresses

Primary practice location

100 Horseshoe Lane
Weaverville, CA 96093

Mailing address

PO Box 960
Weaverville, CA 96093-0960
Phone (530) 623-8888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1639307465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960930960",
            "telephone_number": "530-623-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HORSESHOE LANE",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "96093",
            "telephone_number": "530-623-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK REESE CARLIN JR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "CARLIN",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "530-623-8888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.