CARSON FAMILY DENTISTRY – NPI #1598011561
Clinic/Center

CARSON FAMILY DENTISTRY is an AHC clinic located in SPRINGFIELD, SD. NPPES has assigned the NPI number 1598011561 to CARSON FAMILY DENTISTRY on July 27, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CARSON FAMILY DENTISTRY” is a dba name, the actual legal business name for this organization is CARSON FAMILY DENTISTRY, PROF LLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARSON FAMILY DENTISTRY below.

NPI Profile for
CARSON FAMILY DENTISTRY, PROF LLC

NPI Number
1598011561
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARSON FAMILY DENTISTRY, PROF LLC
Doing Business As (dba): CARSON FAMILY DENTISTRY
Primary location
707 CHESTNUT ST
BOX 567
SPRINGFIELD, SD 57062
Phone: (605) 369-2226 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CL;ARENCE CARSON
OWNER, DENTIST
Phone: (605) 369-2226
Updated
Identifiers

Identifiers for CARSON FAMILY DENTISTRY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNE1528154234
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 SD M894

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.