DR. RUSSELL EDGAR CARLSON III (NPI# 1164697066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164697066 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL EDGAR CARLSON III |
| Credential | DDS |
| Practice Address |
1145 66th St Suite 2 Windsor Heights IA 50311-1705 |
| Practice Telephone | 5152790856 |
| Practice Fax Number | 5152556907 |
| Mailing Telephone | 5152790856 |
| Mailing Fax Number | 5152556907 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6535 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 500058 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023271137 | Russell Martin Carlson | Podiatrist | 520 Valley View Dr, Moline, IL 61265-6152 | 2008-07-08 |
| 1659531218 | Russell Arthur Carlson | Specialist | 4800 Sand Point Way Ne, W4657, Seattle, WA 98105-3901 | 2008-06-16 |
| 1679791438 | Russell J Carlson | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2007-04-24 |
| 1821103029 | Russell E Carlson | Surgery | 2695 Harlem Rd, Cheektowaga, NY 14225-4021 | 2006-08-20 |
| Street Address |
1145 66TH ST SUITE 2 |
| City | WINDSOR HEIGHTS |
| State | IA |
| Zip Code | 50311-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972947356 | Clair Family Dental Corporation | Dentist | 1145 66th St, Windsor Heights, IA 50324-1705 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517986 | Gina Nichols | Technician | 1529 61st St, Des Moines, IA 50311 | 2019-09-17 |
| 1841429990 | Joann E Lambert | Counselor | 4900 University Ave Suite 210, Des Moines, IA 50311 | 2009-07-10 |
| 1609005750 | Michael L Hopkins | Psychologist | 4900 University Ave, Suite 210, Des Moines, IA 50311 | 2009-07-10 |
| 1598971491 | Dennis P O'meara | Dentist | 1000 73rd St., Suite 7, Des Moines, IA 50311 | 2007-05-15 |
| 1427128370 | Daniel Phillip Bartlett | Dentist | 1000 73rd St Ste 1, Des Moines, IA 50311 | 2006-11-08 |
| 1710057096 | Randall James Ruisch | Dentist | 1000 73rd St., Ste 1, Des Moines, IA 50311 | 2006-11-08 |
| 1053407569 | Robert C. Margeas | Dentist | 1233 63rd St., Des Moines, IA 50311 | 2006-10-04 |
| 1356434872 | Mary Susan Knapp | Social Worker | 6957 University Ave., Windsor Heights, IA 50311 | 2006-10-02 |
| 1598877755 | O'meara Dental | Dentist | 1000 73rd Street, Suite 7, Des Moines, IA 50311 | 2006-08-31 |
| 1871105502 | Matthew C Schlott | Pharmacist | 3030 University Ave, Des Moines, IA 50311 | 2020-08-24 |
| Find all providers in zip 50311 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790837391 | Robert Lee Anderson | Dentist | 7654 Hickman Rd, Windsor Heights, IA 50322-4510 | 2007-01-17 |
| 1811108749 | Demarco Dental Practice,p.c. | Dentist | 974 73rd St, Suite 37, Windsor Heights, IA 50312-1026 | 2007-05-24 |
| 1093922940 | William L Pearce Jr.,dds,pc | Dentist | 974 73rd St, Suite37, Windsor Heights, IA 50312-1024 | 2007-05-17 |
| 1720172679 | Joseph Edward Demarco | Dentist | 974 73rd St, Suite 37, Windsor Heights, IA 50312-1024 | 2006-10-03 |
| 1144314923 | William L Pearce Jr. | Dentist | 974 73rd St, Suite 37, Windsor Heights, IA 50312-1024 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400106 | Samantha Wagler | Dentist | 923 6th Avenue, Dewitt, IA 52742 | 2020-09-03 |
| 1295343804 | Gabrielle Genevieve Henry | Dentist | 401 Haganman Ln, Solon, IA 52333-9760 | 2020-07-20 |
| 1942827811 | Kalona Family Dental, Plc | Dentist | 1206 E Ave, Kalona, IA 52247-9767 | 2020-06-26 |
| 1245856582 | Reena Patel | Dentist | 401 S Gear Ave Ste 101, West Burlington, IA 52655-1067 | 2020-06-23 |
| 1679199574 | Flora Yu Harn Yen | Dentist | 3602 Ne Otterview Cir, Ankeny, IA 50021-7773 | 2020-06-17 |
| 1679198030 | Colin Earl Odland | Dentist | 1089 Jordan Creek Pkwy Ste 100, West Des Moines, IA 50266-5829 | 2020-06-11 |
| 1124653860 | Chase Frei | Dentist | 2615 S Center St, Marshalltown, IA 50158-4501 | 2020-03-03 |
| 1649828344 | Stephanie Jo Heyland | Dentist | 4723 Avenue J, Fort Madison, IA 52627-9511 | 2019-08-27 |
| 1952958167 | Skyline Dental Services, LLC | Dentist | 2180 W Kimberly Rd # 8, Davenport, IA 52806-5368 | 2019-08-22 |
| 1386296671 | Dillon Wesley Schloerb | Dentist | 1606 Golden Aspen Dr Ste 110, Ames, IA 50010-8011 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | WINDSOR HEIGHTS |
| Zip Code | 50311 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.