Kendal Nylas Carlson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

HD-16000 Issued in CO

Practice address

155 Cook St
Suite 141
Denver, CO 80206-5325

Phone

(303) 355-2373

Fax

(303) 333-5958

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1972501369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 FOXRIDGE CIR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267826",
            "telephone_number": "720-320-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 COOK ST",
            "address_2": "SUITE 141",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065325",
            "telephone_number": "303-355-2373",
            "fax_number": "303-333-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KENDAL",
        "middle_name": "NYLAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.0016000",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "HD-16000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kendalncarlsondmd@gmail.com",
            "affiliation": "N",
            "endpointDescription": "office/personal email",
            "address_1": "10209 Foxridge Cir",
            "city": "Highlands Ranch",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801267826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Carlson
• Jay C Carlson, MD
• Jenna Carlson
• Julia Gray Carlson, B.S.
• Kelsey Carlson, MSW
• Megan Carlson, MA, LPC
• Michael P. Carlson, LCSW
• Nancy Cohn Carlson, M.D.
• Rebecca Carlson
• Scott C Carlson, CRNA

• Dentist in Denver, CO
• Providers in Denver, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2019; 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.