Active NPI
Devin Kenneth Carlson, D.C.
- Chiropractor
- Dickinson, ND
National Provider Identifier
1720145907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 700
- Practice address
- 188 Osborn Dr
Dickinson, ND 58601-3936 - Phone
- (701) 483-9483
- Fax
- (701) 483-8202
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 700 | ND | Primary |
Addresses
Primary practice location
188 Osborn Dr
Dickinson, ND 58601-3936
Mailing address
188 Osborn Dr
Dickinson, ND 58601-3936
Phone (701) 483-9483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11468 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 700 | ND | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krieg Family Dental | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Dickinson, ND
- NPI 1326452335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720145907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 OSBORN DR",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586013936",
"telephone_number": "701-483-9483",
"fax_number": "701-483-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 OSBORN DR",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586013936",
"telephone_number": "701-483-9483",
"fax_number": "701-483-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "DEVIN",
"middle_name": "KENNETH",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11468",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.