JOHN D. CARLSON MD
NPI 1679846166
Specialist in Crestview, FL

Q: What is John D. Carlson MD's NPI number?

The NPI number for John D. Carlson MD is 1679846166. It was assigned to this organization in the NPPES registry on February 15, 2012.

Q: What is John D. Carlson MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 15, 2012

492 NORTH WILSON STREET, CRESTVIEW, FL 32536(850) 682-5332(850) 683-5333 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John D. Carlson Md NPPES

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

JOHN D. CARLSON MD (NPI 1679846166) is a healthcare organization registered as a specialist in Crestview, Florida and active in the NPI registry since February 2012. The organization lists John Dale Carlson, Owner, as its authorized official.

NPPES Registry Identity

NPI1679846166

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameJOHN D. CARLSON MD

Location Address492 NORTH WILSON STREETCrestview, FL 32536

Mailing Address492 North Wilson StreetCrestview, FL 32536 · (850) 682-5332 · Fax (850) 683-5333

Phone(850) 682-5332

Fax(850) 683-5333

Organization SubpartNo

Authorized OfficialJohn Dale CarlsonOwner · (850) 682-5332

Enumeration DateFebruary 15, 2012

✔ NPI 1679846166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME0051484

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

492 NORTH WILSON STREET, Crestview, FL 32536

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Other Identifiers 1

Medicare PIN04566FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 John D. Carlson MD's NPI number?

The NPI number for John D. Carlson MD is 1679846166. It was assigned to this organization in the NPPES registry on February 15, 2012.

Where is John D. Carlson MD located?

John D. Carlson MD is located at 492 North Wilson Street, Crestview, FL 32536. The listed phone number is (850) 682-5332.

What is John D. Carlson MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for John D. Carlson MD was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.