Brian K Carpenter DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRIAN K CARPENTER DDS

Practice address

2750 Breton Rd SE
Grand Rapids, MI 49546-8052

Phone

(616) 949-2591

NPI assigned

Jun 9, 2022

Organization subpart

No

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

Authorized official

Name

Brian Carpenter, DDSNPI 1376636415

Title

Owner/Dentist

Phone

(616) 949-2591

Specialties & licenses 1

Addresses

Other names 1

• Carpenter Family Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Kenneth Carpenter, DDS

  • Dentist
  • Grand Rapids, MI
  • NPI 1376636415
  NPD (past) Authorized official
• Elizabeth A Carpenter, DDS

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1396055992
  NPD (past)

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1407585995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 SCARBOROUGH DR SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019144",
            "telephone_number": "616-949-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BRETON RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468052",
            "telephone_number": "616-949-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K CARPENTER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "616-949-2591",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carpenter Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Brewer
• Quinesha Shamira Brewer, RDH
• Summer Sophia Brewer, MD
• Lynnel Brewster
• Brian Cilla DDS Ms PC
• Brian Ulrich LLC
• Kathleen Mary Bricker, MSW
• Meghan Brickey, LMSW
• Bridge Home Health Care LLC
• Bridge to Restoration Therapy Services

• Dental Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.