BRUCE K CARLSON (NPI# 1578522108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578522108 |
| Entity Type | Individual |
| Full Name | BRUCE K CARLSON |
| Credential | DDS |
| Practice Address |
1875 Dempster St Suite 495 Park Ridge IL 60068-1186 |
| Practice Telephone | 8476982331 |
| Practice Fax Number | 8476983429 |
| Mailing Telephone | 8476982331 |
| Mailing Fax Number | 8476983429 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831405851 | Bruce Carlson | Pharmacist | 598 E Highway 290, Dripping Springs, TX 78620-3931 | 2010-08-27 |
| 1427263599 | Bruce Wayne Carlson | Technician, Other | 5946 Nw 88th Ave, Tamarac, FL 33321-4268 | 2007-05-11 |
| 1508912288 | Bruce L Carlson | Counselor | 101 E Broadway Ave, Bismarck, ND 58501 | 2007-01-26 |
| 1669537106 | Bruce D Carlson | Family Medicine | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2006-12-26 |
| 1891867024 | Bruce Alan Carlson | Dentist | 267 Main St, Lansing, IA 52151 | 2006-11-14 |
| 1700877396 | Bruce A Carlson | Family Medicine | 1501 Thompson St, Bloomer, WI 54724-1257 | 2005-11-02 |
| 1386635449 | Bruce E Carlson | Internal Medicine | 22n285 Pepper Rd, 407, Lake Barrington, IL 60010-5982 | 2005-10-28 |
| Street Address |
1875 DEMPSTER ST SUITE 495 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307092 | The Spine Center, S.c | Orthopaedic Surgery | 1875 Dempster St, Ste 425, Park Ridge, IL 60068-1129 | 2005-06-23 |
| 1124680640 | Heather Ann-marie Owens | Physical Therapist | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2019-07-04 |
| 1467012187 | Eric Joseph Leadley | Nurse Practitioner | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2019-06-14 |
| 1619495868 | Kelly Ryan Warf | Audiologist | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2017-09-07 |
| 1164946919 | Olga Gilman | Nurse Practitioner | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2017-08-02 |
| 1275060972 | Anne Frances Wright | Nurse Practitioner | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2017-05-12 |
| 1558892166 | Maricar A Virina | Obstetrics & Gynecology | 1875 Dempster St, Ste. 330, Park Ridge, IL 60068 | 2017-03-24 |
| 1649711995 | Brian Saliba | Obstetrics & Gynecology | 1875 Dempster St, Suite 330, Park Ridge, IL 60068-1186 | 2017-03-19 |
| 1174069363 | Laura Hunnell | Physician Assistant | 1875 Dempster St, Suite 410, Park Ridge, IL 60068-1186 | 2017-01-11 |
| 1871035121 | Rosina Hannilora Victor | Nurse Practitioner | 1875 Dempster St, #465, Park Ridge, IL 60068-1186 | 2016-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| 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 |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1457977753 | Connie Woo | Dentist | 1600 W Dempster St Ste Ll1, Park Ridge, IL 60068-1161 | 2020-06-23 |
| 1659912632 | Cody Wong | Dentist | 1600 Dempster St Ste 101, Park Ridge, IL 60068-1171 | 2019-10-01 |
| 1972156123 | Vasyl Shubinets | Dentist | 2 W Talcott Rd # 24, Park Ridge, IL 60068-5556 | 2019-07-17 |
| 1205145364 | Dr. Maria Faklaris, P.C. | Dentist | 300 Higgins Rd, Park Ridge, IL 60068-5745 | 2010-10-06 |
| 1043547045 | Charles Wold Olsen Jr. | Dentist | 32 Pascack Rd, Park Ridge, NJ 07656-2024 | 2009-11-11 |
| 1427201573 | Andrew Kassaraba | Dentist | 705 Devon Ave, Park Ridge, IL 60068-4754 | 2008-11-02 |
| 1205096450 | Lance K. Ostrowski | Dentist | 823 W Devon Ave, Park Ridge, IL 60068-4736 | 2008-06-11 |
| 1922280643 | Priscilla Pauline Chang | Dentist | 80 N Northwest Hwy, Park Ridge, IL 60068-3329 | 2007-12-04 |
| 1154524940 | Randall E. Reither | Dentist | 800 Higgins Rd, Park Ridge, IL 60068-5718 | 2007-06-08 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.