Mr. Dean A. Carlson, P.A.
Mr. Dean A. Carlson is a Physician Assistant provider (Physician Assistant) practicing in Springfield, MO, registered in the NPPES registry with NPI 1104862861 since 2006. The credential PA stands for Physician Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104862861 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Dean A. Carlson |
| Credential | P.A. |
| Sex | Male |
| Practice address | 1235 E CHEROKEE ST, Springfield, MO, 65804 |
| Phone | 4178202115 |
| Fax | 4178205344 |
| Enumeration date | 2006-06-21 |
| Last updated in NPPES | 2011-10-25 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Primary | 2004032522 | MO |
PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00670958 | Other | — | RAILROAD MEDICARE |
| 431560263 | Other | — | TRICARE |
Copy-ready billing details
Provider: Dean Carlson, P.A. NPI: 1104862861 Taxonomy: 363A00000X (Physician Assistant) Address: 1235 E CHEROKEE ST, Springfield, MO, 65804
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1184540593 | Peter Tran | Individual | Pharmacy Technician | Springfield, MO |
| 1063339554 | Marriah Zeugin | Individual | Certified Registered Nurse Anesthetist | Springfield, MO |
| 1982600284 | Maria Brazil | Individual | Anesthesiology Physician | Springfield, MO |
| 1780677732 | Diane Lipscomb | Individual | Pediatric Critical Care Medicine Physician | Springfield, MO |
| 1447244884 | Olevia Pitts | Individual | Internal Medicine Physician | Springfield, MO |
| 1659360428 | Jessetta Joswick | Individual | Certified Registered Nurse Anesthetist | Springfield, MO |
| 1073504783 | Jim Raynor | Individual | Athletic Trainer | Springfield, MO |
| 1750372421 | Mark Seigler | Individual | Athletic Trainer | Springfield, MO |
Verify this record
Cross-check NPI 1104862861 against the authoritative CMS record: view Mr. Dean A. Carlson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-10-25.