ROBERT E. CARSON D.M.D., M.S.
NPI 1679648703
Dentist - Periodontics in Oklahoma City, OK

Active since November 22, 2006PECOS Enrolled
1201 N STONEWALL AVE, ROOM 494, OKLAHOMA CITY, OK 73117(405) 271-5714(405) 271-2405 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robert E. Carson D.m.d., M.s. NPPES

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

ROBERT E. CARSON D.M.D., M.S. (NPI 1679648703) is an individual periodontics provider in Oklahoma City, Oklahoma, licensed in Oklahoma (4903) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679648703
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameROBERT E. CARSONCredential: D.M.D., M.S.
Location Address1201 N STONEWALL AVE, ROOM 494Oklahoma City, OK 73117-1214
Mailing Address1201 N Stonewall Ave, Room 494Oklahoma City, OK 73117-1214 · (405) 271-5714 · Fax (405) 271-2405
Fax(405) 271-2405
Sole ProprietorYes
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679648703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in OK · 4903
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1201 N STONEWALL AVE, Oklahoma City, OK 73117

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert E. Carson D.m.d., M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Robert Carson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dentist
1201 N STONEWALL, ROOM 494
Oklahoma City, OK 73117
  • Reassigned Medicare billing, Oklahoma enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1201 N STONEWALL AVE, ROOM 494
OKLAHOMA CITY, OK 73117
Student in an Organized Health Care Education/Training Program
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
Dentist
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
Dentist (General Practice)
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
Dentist (General Practice)
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
Dentist (Orthodontics and Dentofacial Orthopedics)
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
Dentist (Periodontics)
1201 N STONEWALL AVE, ROOM 494
OKLAHOMA CITY, OK 73117
Dentist
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117

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 Robert Carson's NPI number?

The NPI number for Robert Carson is 1679648703. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Robert Carson located?

Robert Carson practices at 1201 N Stonewall Ave Room 494, Oklahoma City, OK 73117. The listed phone number is (405) 271-5714.

What is Robert Carson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Robert Carson enrolled in Medicare?

Yes. Robert Carson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Carson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Carson reassigns Medicare benefits to Board Of Regents Of The University Of Oklahoma - Ou Denitstry (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Carson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Carson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.