Individual provider Active NPI

Carly Christine Lawson, DDS

  • Dentist
  • Saint Paul, MN
National Provider Identifier
1760545933
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12267 Issued in MN
Practice address
405 Sibley St
Suite 240
Saint Paul, MN 55101-2975
Phone
(651) 224-9300
Fax
(651) 224-3226
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D12267 MN Primary

Addresses

Primary practice location

405 Sibley St
Suite 240
Saint Paul, MN 55101-2975

Mailing address

405 Sibley St
Suite 240
Saint Paul, MN 55101-2975
Phone (651) 224-9300

Other names 1

  • Dr. Carly Christine Grothe Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D12267MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Leroy M. Hipp, D.D.S. Past Accepting new patients
Carly C. Lawson, DDS, PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1760545933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SIBLEY ST",
            "address_2": "SUITE 240",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012975",
            "telephone_number": "651-224-9300",
            "fax_number": "651-224-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SIBLEY ST",
            "address_2": "SUITE 240",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012975",
            "telephone_number": "651-224-9300",
            "fax_number": "651-224-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "CARLY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "GROTHE",
            "middle_name": "CHRISTINE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.