Organization Active NPI

Richard O. Carpenter, M.D., LC

  • Neurodevelopmental Disabilities Physician
  • Roswell, GA
National Provider Identifier
1447634415
Registry record updated Jul 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurodevelopmental Disabilities PhysicianTaxonomy code 2084P0005X
Legal business name
RICHARD O. CARPENTER, M.D., LC
Practice address
14 Norcross St
Roswell, GA 30075-3862
Phone
(800) 843-8216
NPI assigned
Jul 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2015

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

Authorized official

Name
Dr. Richard O. Carpenter, M.D.NPI 1639216575
Title
Organizer
Phone
(800) 843-8216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurodevelopmental Disabilities PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0005X Primary

Addresses

Primary practice location

14 Norcross St
Roswell, GA 30075-3862

Mailing address

14 Norcross St
Roswell, GA 30075-3862

National Provider Directory

National Provider Directory

Locations

14 Norcross St
Roswell, GA 30075
Phone (404) 843-8216

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437264000000",
    "number": "1447634415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 NORCROSS ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 NORCROSS ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753862",
            "telephone_number": "800-843-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD O. CARPENTER, M.D., LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-19",
        "last_updated": "2015-07-19",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "800-843-8216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2015; 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.