Marse McCann-Carpenter, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6076 Issued in NE

Practice address

309 N Minden Ave
Minden, NE 68959-1657

Phone

(308) 832-1010

Fax

(308) 832-1048

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McCann-Carpenter Dental, L.L.C.

  • General Practice Dentistry
  • Minden, NE
  • NPI 1760740310
  NPD (past) Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417060583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N MINDEN AVE",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591657",
            "telephone_number": "308-832-1010",
            "fax_number": "308-832-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N MINDEN AVE",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591657",
            "telephone_number": "308-832-1010",
            "fax_number": "308-832-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN-CARPENTER",
        "first_name": "MARSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47082168911",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Sue Larsen
• Shelby Liesemeyer, MD
• Shawna Dawn Lockhorn
• Mary Elys Lutkemeier
• McCann-Carpenter Dental, L.L.C.
• Samantha Jo McCartney, RPH
• Sean James McFadden, OTD, OTR/L
• Mariah Miller, PT, DPT, LAT, ATC
• Minden Dental Clinic, LLC
• Minden Family Practice Clinic

• General Practice Dentistry in Minden, NE
• Providers in Minden, NE by specialty
• General Practice Dentistry in Nebraska

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.