Active NPI
Carson Seth Kelso, DMD
- Dentist
- Lawrenceburg, TN
National Provider Identifier
1851131007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12499
- Practice address
- 1620 Business Ave
Lawrenceburg, TN 38464-2398 - Phone
- (931) 762-1975
- NPI assigned
- May 27, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12499 | TN | Primary |
Addresses
Primary practice location
1620 Business Ave
Lawrenceburg, TN 38464-2398
Mailing address
2066 Fall River Rd
Leoma, TN 38468-5036
Phone (931) 242-9964
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12499 | TN | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716768000000",
"number": "1851131007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2066 FALL RIVER RD",
"city": "LEOMA",
"state": "TN",
"postal_code": "384685036",
"telephone_number": "931-242-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 BUSINESS AVE",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384642398",
"telephone_number": "931-762-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSO",
"first_name": "CARSON",
"middle_name": "SETH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-27",
"last_updated": "2024-05-27",
"certification_date": "2024-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "12499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.