NPIMap

Individual provider Active NPI

David Wesley Carpenter, MD

  • Family Medicine Physician
  • Ormond Beach, FL
National Provider Identifier
1164573192
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME86066 Issued in FL
Practice address
77 W Granada Blvd
Ormond Beach, FL 32174-6302
Phone
(386) 677-0453
Fax
(386) 677-5494
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME86066 FL Primary

Addresses

Primary practice location

77 W Granada Blvd
Ormond Beach, FL 32174-6302

Mailing address

77 W Granada Blvd
Ormond Beach, FL 32174-6302
Phone (386) 677-0453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041011000074 FL Practitioner - General Practice 7517926959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Saint Louis University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, Inc 1,249 clinicians
Ability Health Services and Rehabilitation LP 1,260 clinicians
Ormond Medical Arts 38 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

77 W Granada Blvd
Ormond Beach, FL 32174-6302
Phone (904) 677-0453

800 N Stone St
Deland, FL 32720-3256
Phone (386) 736-4912

845 State Rd
Suite 44
New Smyrna Beach, FL 32168-7271
Phone (386) 423-2550

Hospital & facility affiliations

  • Brooks Rehabilitation Home Health Home health agency, Daytona Beach, FL, CCN 107628
  • Centerwell Home Health Home health agency, Daytona Beach, FL, CCN 107338
  • Adventhealth Home Health Home health agency, Ormond Beach, FL, CCN 107408
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Removal of skin lesions114
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME86066FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ormond Medical Arts Family Practice LLC Family Medicine CurrentSince Aug 1, 2004 Accepting new patients

Locations

800 N Stone St
Deland, FL 32720
Phone (386) 601-5220

77 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 677-0453

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1579/brand/8/csg/141/fhir/r4
  • Direct secure messaging: david.carpenter.1@15135.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164573192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746302",
            "telephone_number": "386-677-0453",
            "fax_number": "386-677-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746302",
            "telephone_number": "386-677-0453",
            "fax_number": "386-677-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "DAVID",
        "middle_name": "WESLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.