Samuel C. Carpenter, Dpmpc

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

171 Issued in NM

Legal business name

SAMUEL C. CARPENTER, DPMPC

Practice address

4801 N Butler Ave
Suite 9102
Farmington, NM 87401-6002

Phone

(505) 327-3338

Fax

(505) 566-9213

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Samuel Carpenter, D.P.M.

Title

Owner

Phone

(505) 327-3338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1093928673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N BUTLER AVE",
            "address_2": "SUITE 9102",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016002",
            "telephone_number": "505-327-3338",
            "fax_number": "505-566-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N BUTLER AVE",
            "address_2": "SUITE 9102",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016002",
            "telephone_number": "505-327-3338",
            "fax_number": "505-566-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL C. CARPENTER, DPMPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-327-3338",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NM",
            "license": "171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in Farmington, NM
• Providers in Farmington, NM by specialty
• Foot Surgery Podiatrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.