Active NPI
Elizabeth Tait Gaston Carpenter, DMD
- Dentist
- Clemson, SC
National Provider Identifier
1053518985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4354
- Practice address
- 1000 College Ave
Clemson, SC 29631-2804 - Phone
- (864) 654-6700
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4354 | SC | Primary |
Addresses
Primary practice location
1000 College Ave
Clemson, SC 29631-2804
Mailing address
104 Holbrook TRL
Greenville, SC 29605-3163
Phone (843) 442-3375
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 |
|---|---|---|---|
| 4354 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Oaks Dental Care of Clemson, LLC | Past | Accepting new patients | |
| Carolina Oaks Clemson LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Clemson, SC
- NPI 1225466592
-
- General Practice Dentistry
- Clemson, SC
- NPI 1154779395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1053518985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 HOLBROOK TRL",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296053163",
"telephone_number": "843-442-3375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 COLLEGE AVE",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296312804",
"telephone_number": "864-654-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "ELIZABETH",
"middle_name": "TAIT GASTON",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "4354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clemson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.