Charles Mark Carpenter, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS030179L Issued in PA

Practice address

1086 Wyoming Ave
Forty Fort, PA 18704-4014

Phone

(570) 331-0909

Fax

(570) 714-5184

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carpenter Dental Charles M. Carpenter Charles M. Carpenter Jr. P.C.

  • General Practice Dentistry
  • Forty Fort, PA
  • NPI 1568839850
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396969044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 WYOMING AVE",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044014",
            "telephone_number": "570-331-0909",
            "fax_number": "570-714-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 WYOMING AVE",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044014",
            "telephone_number": "570-331-0909",
            "fax_number": "570-714-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CHARLES",
        "middle_name": "MARK",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030179L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Lynn Budwash
• Terri Bugelholl, OTD OTR/L
• Marla G Campbell, PT
• Carpenter Dental Charles M. Carpenter Charles M. Carpenter Jr. P.C.
• Charles Mark Carpenter, DMD
• Charlotte L Casterline, MD
• Cornelia Chmil
• Tracy Ann Chorpenning, AU.D.
• Joseph Clarke, LSW
• Dean M. Clerico, M.D.

• General Practice Dentistry in Forty Fort, PA
• Providers in Forty Fort, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.