Active NPI
Gary Miller Carpenter, M.A.
- Clinical Social Worker
- Frisco, TX
National Provider Identifier
1336241801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12089
- Practice address
- 5850 Town & Country Blvd
Suite 801
Frisco, TX 75034-6953 - Phone
- (972) 377-4357
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12089 | TX | Primary |
Addresses
Primary practice location
5850 Town & Country Blvd
Suite 801
Frisco, TX 75034-6953
Mailing address
3408 Radcliffe Dr
Plano, TX 75093-7140
Phone (972) 377-4357
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12089 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1336241801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3408 RADCLIFFE DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750937140",
"telephone_number": "972-377-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 TOWN & COUNTRY BLVD",
"address_2": "SUITE 801",
"city": "FRISCO",
"state": "TX",
"postal_code": "750346953",
"telephone_number": "972-377-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "GARY",
"middle_name": "MILLER",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "12089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.