Active NPI
Paul D Carlson, DDS
- General Practice Dentistry
- Sun City, AZ
National Provider Identifier
1851473151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2127
- Practice address
- 10503 W Thunderbird Blvd
Ste 371
Sun City, AZ 85351-3022 - Phone
- (623) 977-4001
- Fax
- (623) 875-0424
- NPI assigned
- Oct 19, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2127 | AZ | Primary |
Addresses
Primary practice location
10503 W Thunderbird Blvd
Ste 371
Sun City, AZ 85351-3022
Mailing address
10503 W Thunderbird Blvd
Ste 371
Sun City, AZ 85351-3022
Phone (623) 977-4001
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 |
|---|---|---|---|
| 2127 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Dental Partners, LLC | General Practice | 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.
-
- General Practice Dentistry
- Sun City, AZ
- NPI 1740799824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851473151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10503 W THUNDERBIRD BLVD",
"address_2": "STE 371",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513022",
"telephone_number": "623-977-4001",
"fax_number": "623-875-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10503 W THUNDERBIRD BLVD",
"address_2": "STE 371",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513022",
"telephone_number": "623-977-4001",
"fax_number": "623-875-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "PAUL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "2127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
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.