Benjamin Josh Carlson, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CPO03568

Practice address

975 N Main St Ste 3a
Layton, UT 84041-2200

Phone

(385) 377-3833

Fax

(877) 326-3388

NPI assigned

Jun 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Precision Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Provo, UT
  • NPI 1518705888

  Orthotist

  NPD Authorized official
• Cranio Ninja LLC

  • Durable Medical Equipment & Medical Supplies
  • Layton, UT
  • NPI 1700483567
  NPD
• Peak Plastic Surgery, PLLC

  • Plastic Surgery Physician
  • Draper, UT
  • NPI 1477041101
  NPD (past)

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1720655459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 301",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043373",
            "telephone_number": "801-702-9191",
            "fax_number": "877-326-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 N MAIN ST STE 3A",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412200",
            "telephone_number": "385-377-3833",
            "fax_number": "877-326-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "BENJAMIN",
        "middle_name": "JOSH",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": "CPO03568",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": "CPO03568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortney Jade Cargeeg
• Caring Hands Hospice
• Heather Carlin
• Gina Carling
• Stephanie Carlsen
• Jean Marie Carlson, COTA
• Jayden Carpenter
• Kelsi Carpenter
• McKenna Carpenter, BT
• Rachel Carpenter

• Prosthetist in Layton, UT
• Providers in Layton, UT by specialty
• Prosthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.