Active NPI
Kurt Karl Carlson, M.D.
- Family Medicine Physician
- Lovelock, NV
National Provider Identifier
1881653384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3438
- Practice address
- 855 6TH Street
Lovelock, NV 89419 - Phone
- (775) 273-2621
- Fax
- (775) 273-3213
- NPI assigned
- Mar 22, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3438 | NV | Primary |
Addresses
Primary practice location
855 6TH Street
Lovelock, NV 89419
Mailing address
PO Box 661
Lovelock, NV 89419-0661
Phone (775) 273-2621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150318000762 | NV | Order and Referring Only - Family Practice | 7517915085 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881653384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 661",
"city": "LOVELOCK",
"state": "NV",
"postal_code": "894190661",
"telephone_number": "775-273-2621",
"fax_number": "775-273-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 6TH STREET",
"city": "LOVELOCK",
"state": "NV",
"postal_code": "89419",
"telephone_number": "775-273-2621",
"fax_number": "775-273-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "KURT",
"middle_name": "KARL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "3438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lovelock, NV
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.