Susan L Carlson, RDH, BS

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH00001002 Issued in WA

Practice address

509 Olive Way
Suite 1240
Seattle, WA 98101-1720

Phone

(206) 325-4763

Fax

(206) 325-4763

NPI assigned

Feb 6, 2007

Sex

Female

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

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Northwest Dental Hygiene

  • Dental Hygienist
  • Seattle, WA
  • NPI 1326211525
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1932248606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 36TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124323",
            "telephone_number": "206-325-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 1240",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-325-4763",
            "fax_number": "206-325-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "RDH,  BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00001002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Jean Carlson
• Peter Carlson, LMHCA
• Russell Arthur Carlson, COLO
• Steve Craig Carlson
• Sue Carlson, SUENEELL
• Tara Lynn Carlson, LPN
• Taylor Carlson
• Tonia 'Heather' Carlson, LMHC
• Viktoria Marie Carlson
• Whitney Lynn Carlson, MD

• Dental Hygienist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.