Active NPI
Matthew Raymond Carpenter, D.D.S.
- Dentist
- San Diego, CA
National Provider Identifier
1275789356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57484
- Practice address
- 12075 Carmel Mountain Rd Ste 210
San Diego, CA 92128-4613 - Phone
- (858) 487-6453
- Fax
- (858) 487-6717
- NPI assigned
- Aug 8, 2008
- 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 | 57484 | CA | Primary |
Addresses
Primary practice location
12075 Carmel Mountain Rd Ste 210
San Diego, CA 92128-4613
Mailing address
12075 Carmel Mountain Rd Ste 210
San Diego, CA 92128-4613
Phone (858) 487-6453
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 |
|---|---|---|---|
| 57484 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael S Singer DDS Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1275789356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12075 CARMEL MOUNTAIN RD STE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921284613",
"telephone_number": "858-487-6453",
"fax_number": "858-487-6474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12075 CARMEL MOUNTAIN RD STE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921284613",
"telephone_number": "858-487-6453",
"fax_number": "858-487-6717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "MATTHEW",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-08",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.