Individual provider Active NPI

William M Carpenter, MD PA

  • Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1306878723
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
H3302 Issued in TX
Practice address
4131 N Central Expy Ste 448
Dallas, TX 75204-2188
Phone
(214) 827-8407
Fax
(214) 827-5001
NPI assigned
Jul 7, 2006
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X H3302 TX Primary

Addresses

Primary practice location

4131 N Central Expy Ste 448
Dallas, TX 75204-2188

Mailing address

4131 N Central Expy Ste 448
Dallas, TX 75204-2188
Phone (214) 827-8407

Other identifiers 1

IdentifierTypeStateIssuer
097954402MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000703 TX Practitioner - Plastic and Reconstructive Surgery 1658416367

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H3302TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David E Morales M D P a Plastic Surgery CurrentSince Dec 12, 2021 Accepting new patients

Locations

3409 Worth St
Ste 630
Dallas, TX 75246
Phone (214) 827-8407

4131 N Central Expy
Ste 448
Dallas, TX 75204
Phone (214) 827-8407

Interoperability endpoints

  • Direct secure messaging: wcarpenter@direct.uspi.com

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1306878723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 N CENTRAL EXPY STE 448",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042188",
            "telephone_number": "214-827-8407",
            "fax_number": "214-827-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 N CENTRAL EXPY STE 448",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042188",
            "telephone_number": "214-827-8407",
            "fax_number": "214-827-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "H3302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097954402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.