NPIMap

Organization Active NPI

Kenneth E Carpenter D.D.S., M.S., P.C.

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1386789758
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9401 Issued in MI
Legal business name
KENNETH E CARPENTER D.D.S., M.S., P.C.
Practice address
1121 E Stadium Blvd
Ann Arbor, MI 48104
Phone
(734) 662-6772
Fax
(734) 662-7973
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Dr. Kenneth Earl Carpenter, DDSNPI 1093045387
Title
President Chairman
Phone
(734) 662-6772

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9401 MI Primary

Addresses

Primary practice location

1121 E Stadium Blvd
Ann Arbor, MI 48104

Mailing address

1121 E Stadium Blvd
Ann Arbor, MI 48104
Phone (734) 662-6772

National Provider Directory

National Provider Directory

Locations

1121 E Stadium Blvd
Ann Arbor, MI 48104
Phone (734) 662-6772

Practitioners & affiliated clinicians

Practitioners 2

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1386789758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-662-6772",
            "fax_number": "734-662-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-662-6772",
            "fax_number": "734-662-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH E CARPENTER D.D.S., M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT CHAIRMAN",
        "authorized_official_telephone_number": "734-662-6772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "9401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.