Matthew Thomas Carpenter, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4409 Issued in SC

Practice address

351 W 6TH Street BLDG 440
USA Dentac
Ft Stewart, GA 31314

Phone

(912) 767-6735

Fax

(912) 767-5425

NPI assigned

Nov 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Matthew Thomas Carpenter Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1407036999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W 6TH STREET BLDG 440",
            "address_2": "USA DENTAC",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-767-6735",
            "fax_number": "912-767-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W 6TH STREET BLDG 440",
            "address_2": "USA DENTAC",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-767-6735",
            "fax_number": "912-767-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4409",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "4409",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "CARPENTER",
            "middle_name": "THOMAS",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Judy Carden, RN
• Dorothy Cardozo
• Patrick Carlson, LPN
• Austin Edward Carmack, MD
• Alexandra Catherine Carney, DO
• Edward Carr Jr.
• Jennifer Leigh Carroll, PA-C
• Jenny Carson
• Shannon Carson, LPN
• Sonya Lynn Carter-Ward, RDH

• Endodontics in Ft Stewart, GA
• Providers in Ft Stewart, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.