Carlyon Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

2901012008 Issued in MI

Legal business name

CARLYON DENTISTRY

Practice address

1106 1St Ave S
Escanaba, MI 49829-3411

Phone

(906) 786-3891

Fax

(906) 786-3829

NPI assigned

Sep 23, 2016

Organization subpart

No

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

Authorized official

Name

Ann M Nordin

Title

Office Manager

Phone

(906) 786-3891

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1699224394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 1ST AVE S",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293411",
            "telephone_number": "906-786-3891",
            "fax_number": "906-786-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 1ST AVE S",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293411",
            "telephone_number": "906-786-3891",
            "fax_number": "906-786-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLYON DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "NORDIN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "906-786-3891"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901012008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1043310113",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1003279100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Carlson, LBSW
• Heather Carlson
• Kathryn Elena Carlson, PMHNP
• Michael Carlson, DC
• Thomas K Carlson, MD
• Bruce R Carlyon, DDS
• Jennifer L Caron
• Kathryn Anne Carroll
• Dorothea Margaret Case, CRNA
• Danielle Rae Cass, RN

• Dentist in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.