David T. Carlson, MD
Family Medicine in Watertown, SD. Individual provider (NPI-1).
NPI number1114985132
StatusActive
Last updated in NPPESAug 19, 2020
Details
- NPI
- 1114985132
- Entity type
- Individual (NPI-1)
- Name
- David T. Carlson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2006
- Certification date
- Aug 19, 2020
- Last updated
- Aug 19, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 1283 | SD | Yes |
Practice location
506 1st Ave SeWatertown, SD 57201-4402
Phone 605-886-8482 · Fax 605-884-4300
Mailing address
506 1st Ave SeWatertown, SD 57201-4402
Phone 605-886-8482 · Fax 605-884-4300
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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