Organization Active NPI

Scott S Carpenter DO PLLC

  • Surgery Physician
  • Abilene, TX
National Provider Identifier
1386297646
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SCOTT S CARPENTER DO PLLC
Practice address
1665 Antilley Rd Ste 250
Abilene, TX 79606-5249
Phone
(325) 793-5290
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Denise Jones
Title
Administrator
Phone
(325) 695-4133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1665 Antilley Rd Ste 250
Abilene, TX 79606-5249

Mailing address

4400 Buffalo Gap Rd Ste 2400C
Abilene, TX 79606-2723
Phone (325) 695-4133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191029000624 TX Part B Supplier - Clinic/Group Practice 9335471143 Receives reassigned benefits from 1 practitioner
Practice locations: Coleman, TX

National Provider Directory

National Provider Directory

Locations

1665 Antilley Rd
Ste 250
Abilene, TX 79606
Phone (325) 692-4194

Practitioners & affiliated clinicians

Practitioners 1

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": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1386297646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BUFFALO GAP RD STE 2400C",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796062723",
            "telephone_number": "325-695-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 ANTILLEY RD STE 250",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065249",
            "telephone_number": "325-793-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT S CARPENTER DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-695-4133"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.