Active NPI
Mike Carpenter
- Driver
- Bend, OR
National Provider Identifier
1053286906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 2471918-93
- Practice address
- 20882 Covey CT
Bend, OR 97701-5780 - Phone
- (541) 420-3859
- NPI assigned
- Oct 9, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 2471918-93 | OR | Primary |
Addresses
Primary practice location
20882 Covey CT
Bend, OR 97701-5780
Mailing address
20882 Covey CT
Bend, OR 97701-5780
Phone (541) 420-3859
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2471918-93 | OR | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1053286906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20882 COVEY CT",
"city": "BEND",
"state": "OR",
"postal_code": "977015780",
"telephone_number": "541-420-3859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20882 COVEY CT",
"city": "BEND",
"state": "OR",
"postal_code": "977015780",
"telephone_number": "541-420-3859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "MIKE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-09",
"last_updated": "2025-10-24",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": "OR",
"license": "2471918-93",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.