Michael Carlson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

988 Issued in ND

Practice address

1936 N 11TH St
Bismarck, ND 58501-1914

Phone

(701) 258-0029

Fax

(701) 258-0826

NPI assigned

Dec 5, 2014

Last updated

Dec 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern University Feinberg Medical School, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Chuppe Clinic PCGroup PAC ID 4385637891, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chuppe Clinic PC

  • Chiropractor
  • Bismarck, ND
  • NPI 1649285396
  Medicare reassignment Care Compare group NPD
• Central Dakota Radiologists PC

  • Diagnostic Radiology Physician
  • Bismarck, ND
  • NPI 1003851841
  NPD (past)

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1669870721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 N 11TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011914",
            "telephone_number": "701-258-0029",
            "fax_number": "701-258-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 N 11TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011914",
            "telephone_number": "701-258-0029",
            "fax_number": "701-258-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise R Carlson, NP
• Gail R Carlson, LSW
• Hugh S Carlson, MD
• Jessica A. Carlson, MD
• Joseph W Carlson, MD
• Shannon Carlson, LMSW
• Toby Carlson
• Carrie Carmichael
• Tyson Copenhaver Carney
• Carol L. Krause, MD PC (Dakota Pain Management Center)

• Chiropractor in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.