Organization Active NPI

John R. Carson, D.D.S., P.C.

  • Customized Equipment (DME)
  • Tucson, AZ
National Provider Identifier
1679025613
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
D5396 Issued in AZ
Legal business name
JOHN R. CARSON, D.D.S., P.C.
Practice address
7415 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone
(520) 514-7203
Fax
(520) 514-1417
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Ms. Kimberly Carson
Title
Treasure
Phone
(520) 514-7203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X D5396 AZ Primary

Addresses

Primary practice location

7415 E Tanque Verde Rd
Tucson, AZ 85715-3477

Mailing address

7415 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 514-7203

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1679025613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153477",
            "telephone_number": "520-514-7203",
            "fax_number": "520-514-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153477",
            "telephone_number": "520-514-7203",
            "fax_number": "520-514-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. CARSON, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "TREASURE",
        "authorized_official_telephone_number": "520-514-7203",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "D5396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.