Individual provider Active NPI

Celeste Anne Karzon

  • Specialist
  • Mobridge, SD
National Provider Identifier
1902051162
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
69892-0 Issued in SD
Practice address
12451 Hwy 1806
Mobridge, SD 57601
Phone
(605) 845-7181
Fax
(605) 845-5072
NPI assigned
Dec 1, 2008
Last updated
Dec 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 69892-0 SD Primary

Addresses

Primary practice location

12451 Hwy 1806
Mobridge, SD 57601

Mailing address

PO Box 680
Mobridge, SD 57601-0680
Phone (605) 845-7181

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
69892-0SDMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1902051162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576010680",
            "telephone_number": "605-845-7181",
            "fax_number": "605-845-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12451 HWY 1806",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "57601",
            "telephone_number": "605-845-7181",
            "fax_number": "605-845-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARZON",
        "first_name": "CELESTE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SD",
            "license": "69892-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobridge, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.