DR. JAN RAY CARLSON DDS
NPI 1417059478
Dentist - Pediatric Dentistry in Lakewood, NY

Q: What is Jan Carlson's NPI number?

The NPI number for Jan Carlson is 1417059478. It was assigned to this individual provider in the NPPES registry on September 1, 2006. The provider is also known as Dr. Jan Ray Shirley Dds.

Q: What is Jan Carlson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Jan Carlson was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 01, 2006

133 E FAIRMOUNT AVE STE 1, LAKEWOOD, NY 14750(716) 763-0130 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jan Ray Carlson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAN RAY CARLSON DDS (NPI 1417059478) is an individual pediatric dentistry provider in Lakewood, New York, licensed in New York (058246) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1417059478

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. JAN RAY CARLSONCredential: DDS

Location Address133 E FAIRMOUNT AVE STE 1Lakewood, NY 14750-1950

Mailing Address133 E Fairmount Ave Ste 1Lakewood, NY 14750-1950 · (716) 763-0130

Phone(716) 763-0130

Sole ProprietorYes

Enumeration DateSeptember 1, 2006

Last NPPES UpdateJuly 28, 2016

✔ NPI 1417059478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in NY · 058246✔ Licensed in KS · 60345

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

133 E FAIRMOUNT AVE STE 1, Lakewood, NY 14750

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Other Names 1

Former Name (1)Dr. Jan Ray Shirley Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Humana, Renaissance Dental.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKEWOOD PEDIATRIC DENTISTRY PLLC

Dentist (Pediatric Dentistry)

133 E FAIRMOUNT AVE STE 1
LAKEWOOD, NY 14750

Chautauqua County (716) 763-0130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jan Carlson's NPI number?

The NPI number for Jan Carlson is 1417059478. It was assigned to this individual provider in the NPPES registry on September 1, 2006. The provider is also known as Dr. Jan Ray Shirley Dds.

Where is Jan Carlson located?

Jan Carlson practices at 133 E Fairmount Ave Ste 1, Lakewood, NY 14750. The listed phone number is (716) 763-0130.

What is Jan Carlson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jan Carlson accept?

Health plans from Florida Combined Life, Humana and Renaissance Dental list Jan Carlson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jan Carlson was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.