NPIMap

Organization Active NPI

Estey and Carpenter Dental Corporation

Doing business as Estey & Carpenter Family Dental Practice

  • Dentist
  • Redlands, CA
National Provider Identifier
1326474370
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45230 Issued in CA
Legal business name
ESTEY AND CARPENTER DENTAL CORPORATION
Doing business as
Estey & Carpenter Family Dental Practice
Practice address
1806 Orange Tree LN
Suite B
Redlands, CA 92374-4569
Phone
(909) 335-1166
Fax
(909) 335-1166
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Dr. Mark James Carpenter, DDSNPI 1841310448
Title
Corporate President
Phone
(909) 335-1166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 45230 CA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 45253 CA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 28847 CA

Addresses

Primary practice location

1806 Orange Tree LN
Suite B
Redlands, CA 92374-4569

Mailing address

1806 Orange Tree LN
Suite B
Redlands, CA 92374-4569
Phone (909) 335-1166

Other names 1

  • Estey & Carpenter Family Dental Practice Doing business as

National Provider Directory

National Provider Directory

Locations

1806 Orange Tree Ln
Ste B
Redlands, CA 92374
Phone (909) 335-1166

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1326474370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 ORANGE TREE LN",
            "address_2": "SUITE B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744569",
            "telephone_number": "909-335-1166",
            "fax_number": "909-335-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 ORANGE TREE LN",
            "address_2": "SUITE B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744569",
            "telephone_number": "909-335-1166",
            "fax_number": "909-335-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTEY AND CARPENTER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "909-335-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45230",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45253",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "28847",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Estey & Carpenter Family Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.