Active NPI
Robert Dennis Carpenter, DMD
- Oral and Maxillofacial Pathology Dentistry
- Saratoga Springs, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- D7931
- Practice address
- 4 Care LN
Saratoga Springs, NY 12866-8624 - Phone
- (518) 583-4497
- Fax
- (518) 583-3779
- NPI assigned
- Jul 10, 2006
- Last updated
- Sep 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | D7931 | AZ | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 037897 | NY |
Addresses
Primary practice location
4 Care LN
Saratoga Springs, NY 12866-8624
Mailing address
14122 W McDowell Rd Ste 201
Goodyear, AZ 85395-2505
Phone (623) 444-4521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01240248 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7931 | AZ | MD | Oral and Maxillofacial Pathology Dentist |
| 037897 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Valley Endodontics and Oral Surgery PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Midwestern University | Past | Accepting new patients | |
| West Valley Endodontics and Oral Surgery Inc | Past | Accepting new patients | |
| Saratoga County Oral & Maxillofacial Surgery Associates | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
14122 W McDowell Rd
Ste 201
Goodyear, AZ 85395
Phone (623) 444-4521
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba West Valley Endodontics And Oral Surgery
- Dentist
- Goodyear, AZ
- NPI 1619444833
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- Saratoga Springs, NY
- NPI 1639196637
-
dba Midwestern University Dental Institute
- Dental Clinic/Center
- Glendale, AZ
- NPI 1164744009
-
dba West Valley Endodontics and Oral Surgery
- Endodontics
- Goodyear, AZ
- NPI 1295281525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1033143458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14122 W MCDOWELL RD STE 201",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952505",
"telephone_number": "623-444-4521",
"fax_number": "518-583-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CARE LN",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128668624",
"telephone_number": "518-583-4497",
"fax_number": "518-583-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "ROBERT",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "AZ",
"license": "D7931",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "037897",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01240248",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.