Active NPI
Lucas Carpenter, DDS
- Dentist
- Hutchinson, KS
National Provider Identifier
1255781027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2016017524
- Practice address
- 2700 E 30TH Ave
Hutchinson, KS 67502 - Phone
- (620) 663-8484
- Fax
- (620) 802-0092
- NPI assigned
- Jun 13, 2016
- Sex
- Male
- 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 | 2016017524 | MO | Primary |
Addresses
Primary practice location
2700 E 30TH Ave
Hutchinson, KS 67502
Mailing address
2700 E 30TH Ave
Hutchinson, KS 67502
Phone (620) 663-8484
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 |
|---|---|---|---|
| 2016017524 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1255781027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 E 30TH AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "67502",
"telephone_number": "620-663-8484",
"fax_number": "620-802-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E 30TH AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "67502",
"telephone_number": "620-663-8484",
"fax_number": "620-802-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-13",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2016017524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.