BRIAN CARLSON (NPI# 1891158143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891158143 |
| Entity Type | Individual |
| Full Name | BRIAN CARLSON |
| Credential | DMD |
| Practice Address |
1060 Mckinley Mall Blasdell NY 14219 |
| Mailing Address |
1060 Mckinley Mall Blasdell NY 14219-3019 |
| Practice Telephone | 7169548705 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2019-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 060288 | NY | Dental Providers |
| N | 122300000X | Dentist | DS040995 | PA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 128 Pennsylvania Ave E, Warren, PA 163652533 | 8147234488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194010702 | Brian Jon Carlson | Marriage & Family Therapist | 18888 Hwy 18 Ste 201, Apple Valley, CA 92307-9230 | 2011-06-10 |
| 1407892516 | Brian R Carlson | Pathology | 1411 W Baddour Parkway, Lebanon, TN 37087-2513 | 2006-06-20 |
| 1679189799 | Brian Carlson | Perfusionist | 45211 Helm St, Plymouth, MI 48170-6023 | 2020-09-23 |
| 1255986097 | Brian Richard Carlson | Student in an Organized Health Care Education/Training Program | 5005 N. Piedras St., El Paso, TX 79920 | 2019-08-08 |
| 1336633734 | Brian D Carlson | Psychologist | 3301 Stadium Dr, Phenix City, AL 36867-3115 | 2018-06-19 |
| 1487921078 | Brian Patrick Carlson | Pharmacist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2011-11-26 |
| 1740420439 | Brian David Carlson | Family Medicine | 2415 University Pkwy, Suite 111, Sarasota, FL 34243-2809 | 2009-02-20 |
| 1093954687 | Brian G Carlson | Nurse Practitioner | 9200 W Wisconsin Avenue, Department of Radiology, Milwaukee, WI 53226-3522 | 2009-02-05 |
| 1922272855 | Brian Carlson | Pharmacist | 147 2nd St Nw, Ortonville, MN 56278-1408 | 2008-04-22 |
| 1720148794 | Brian Bert Carlson | Social Worker | 5 Commerce Dr, Skowhegan, ME 04976-4823 | 2006-12-11 |
| Street Address |
1060 MCKINLEY MALL |
| City | BLASDELL |
| State | NY |
| Zip Code | 14219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265570386 | Antonieto Yumang | Dentist | 1060 Mckinley Mall, Blasdell, NY 14219 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942791819 | Gwendolyn Furmanek | Speech-Language Pathologist | Bloom Creative Arts and Therapy 3377 Lake Shore Rd, Buffalo, NY 14219 | 2018-05-25 |
| 1497171789 | Kelly Barnhart | Specialist | 3558 Horton Ave, Blasdell, NY 14219 | 2014-03-11 |
| 1568804839 | Stacey Lee Laufer | Licensed Practical Nurse | 5098 Stewart Street, Blasdell, NY 14219 | 2013-07-26 |
| 1871939157 | Caitlin Irene Embury | Student in an Organized Health Care Education/Training Program | 3860 Mckinley Pkway, Suite 200, Blasdell, NY 14219 | 2013-05-14 |
| 1659642437 | Krista M Lang | Registered Nurse | 3490 Bethford Drive, Blasdell, NY 14219 | 2012-01-25 |
| 1548585714 | Heather Marie Fino-kozakiewicz | Licensed Practical Nurse | 272 Willet Rd, Blasdell, NY 14219 | 2010-03-31 |
| 1467635227 | Ronald Ernewein | Pharmacist | 4281 Lake Ave, Blasdell, NY 14219 | 2007-12-14 |
| 1962696534 | Jennifer Therese Horschel | Speech-Language Pathologist | 3480 South Park Ave, Blasdell, NY 14219 | 2007-08-28 |
| 1205050275 | Michael A Coppola | Dentist | 3720 South Park Avenue, Blasdell, NY 14219 | 2007-04-12 |
| 1689701005 | Michael Thomas Dulak | Technician/Technologist | 3876 South Park Ave, Blasdell, NY 14219 | 2007-02-27 |
| Find all providers in zip 14219 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205050275 | Michael A Coppola | Dentist | 3720 South Park Avenue, Blasdell, NY 14219 | 2007-04-12 |
| 1669733424 | Ryan Joel Sullivan | Dentist | 4154 Mckinley Pkwy, Blasdell, NY 14219-2995 | 2012-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1336749530 | Suffolk Dental Care, PC | Dentist | 3650 Route 112 Ste 105, Coram, NY 11727-4131 | 2020-10-27 |
| 1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1316553613 | Hihland Falls Dental Associate | Dentist | 70 Villa Pkwy, Highland Falls, NY 10928-1615 | 2020-09-22 |
| 1679188130 | Glen Cove Dental P.C. | Dentist | 44 Elm St Ste 1, Huntington, NY 11743-3403 | 2020-09-11 |
| 1255945945 | Derek Lin | Dentist | 10750 Queens Blvd Ste 2, Forest Hills, NY 11375-4266 | 2020-09-01 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1700495272 | Casey Depauw | Dentist | 1066 Abbott Rd # 1, Buffalo, NY 14220-2756 | 2020-07-30 |
| 1194334607 | Asnis Dental Pllc | Dentist | 112 Alexander Ave Unit A, Lake Grove, NY 11755-0429 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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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.