Individual provider Active NPI

Stephen Avery Carpinito

  • Dentist
  • Wakefield, MA
National Provider Identifier
1073213385
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10000350 Issued in MA
Practice address
968 Main St
Wakefield, MA 01880-3989
Phone
(781) 245-2299
Fax
(781) 245-7259
NPI assigned
Mar 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10000350 MA Primary

Addresses

Primary practice location

968 Main St
Wakefield, MA 01880-3989

Mailing address

40 Zachary LN
Reading, MA 01867-1083

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

LicenseStateTypeSpecialty
10000350MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a Carpinito, DMD Dentist Current Accepting new patients
Gerry J.Casazza, D.M.D, F.a.G.D. & Assciates PastSince Sep 29, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1073213385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ZACHARY LN",
            "city": "READING",
            "state": "MA",
            "postal_code": "018671083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803989",
            "telephone_number": "781-245-2299",
            "fax_number": "781-245-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPINITO",
        "first_name": "STEPHEN",
        "middle_name": "AVERY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "10000350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.