D Chase Carlson DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

D CHASE CARLSON DMD PLLC

Practice address

10515 20TH St SE Ste 201
Lake Stevens, WA 98258-4767

Phone

(801) 885-6460

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

David Chase Carlson, DMDNPI 1881208700

Title

Dentist

Phone

(801) 885-6460

Specialties & licenses 1

Addresses

Other names 2

• South Lake Dental Doing business as
• South Lake Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Chase Carlson, DMD

  • General Practice Dentistry
  • Provo, UT
  • NPI 1881208700
  NPD Authorized official

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1891486577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 E 1150 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840621952",
            "telephone_number": "801-885-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 20TH ST SE STE 201",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982584767",
            "telephone_number": "801-885-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D CHASE CARLSON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHASE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-885-6460",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Lake Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Lake Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Costco Wholesale Corporation
• Rebekah Cote, OTR/L
• Taya Countryman, LMT
• Greg Cranford, CSA
• Deborah Marie Cutter, LMP
• Alison Leslie Damboise, SLP-CCC
• Nina Danci
• Timothy Danskin
• Donald Daoust
• Darryn'S Concierge Services

• Dental Clinic/Center in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.