Individual provider Active NPI

Don Kenneth Carlson, D.C.

  • Chiropractor
  • Round Rock, TX
National Provider Identifier
1912070491
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2382DC Issued in TX
Practice address
900 E Palm Valley Blvd
Suite 1011
Round Rock, TX 78664-3288
Phone
(512) 246-8444
Fax
(512) 246-8447
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2382DC TX Primary

Addresses

Primary practice location

900 E Palm Valley Blvd
Suite 1011
Round Rock, TX 78664-3288

Mailing address

900 E Palm Valley Blvd
Suite 1011
Round Rock, TX 78664-3288
Phone (512) 246-8444

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
2382DCTXMDChiropractor
2382TXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912070491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E PALM VALLEY BLVD",
            "address_2": "SUITE 1011",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643288",
            "telephone_number": "512-246-8444",
            "fax_number": "512-246-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E PALM VALLEY BLVD",
            "address_2": "SUITE 1011",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643288",
            "telephone_number": "512-246-8444",
            "fax_number": "512-246-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "DON",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2382DC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

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.

Verify at the official NPI Registry.