Active NPI
Janette Marie Carpenter, M.D.
- Otolaryngology Physician
- Grass Valley, CA
National Provider Identifier
1417123035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A102030
- Practice address
- 280 Sierra College Dr
Suite 105
Grass Valley, CA 95945-5763 - Phone
- (530) 477-4480
- Fax
- (530) 477-4499
- NPI assigned
- May 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A102030 | CA | Primary |
Addresses
Primary practice location
280 Sierra College Dr
Suite 105
Grass Valley, CA 95945-5763
Mailing address
280 Sierra College Dr
Suite 105
Grass Valley, CA 95945-5763
Phone (530) 477-4480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102030 | CA | MD | Clinical Social Worker |
| A102030 | CA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1417123035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 SIERRA COLLEGE DR",
"address_2": "SUITE 105",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455763",
"telephone_number": "530-477-4480",
"fax_number": "530-477-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 SIERRA COLLEGE DR",
"address_2": "SUITE 105",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455763",
"telephone_number": "530-477-4480",
"fax_number": "530-477-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "JANETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-03",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A102030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.