Robert Henry Carlson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D102696200 Issued in NJ

Practice address

435 W Landis Ave
Vineland, NJ 08360-8105

Phone

(856) 691-3220

Fax

(856) 507-9732

NPI assigned

Sep 12, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Affinity Dental Care VLD LLC

  • General Practice Dentistry
  • Vineland, NJ
  • NPI 1891451191
  NPD Authorized official
• Vineland Dentofacial Associates

  • General Practice Dentistry
  • Vineland, NJ
  • NPI 1184139669
  NPD Authorized official

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1922257047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608105",
            "telephone_number": "856-691-3220",
            "fax_number": "856-507-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608105",
            "telephone_number": "856-691-3220",
            "fax_number": "856-507-9732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5188 Highland Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708086527",
            "country_code": "US",
            "telephone_number": "225-766-8107 x107",
            "fax_number": "225-768-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ROBERT",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102696200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caringhouse Projects, Inc
• Caringhouse Projects, Inc
• Caringhouse Projects, Inc
• Jason Carll, PHYSICAL THERAPIST A
• Jadira Carlo
• Cheryl Carmen
• Nicolle Carmolingo
• Kimberly Carr
• George Carrieri, PHYSICAL THERAPIST A
• Casa P.R.a.C., Inc

• General Practice Dentistry in Vineland, NJ
• Providers in Vineland, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.