Individual provider Active NPI

Christopher A Carpenter, M.D.

  • Family Medicine Physician
  • Castle Rock, CO
National Provider Identifier
1508846023
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34771 Issued in CO
Practice address
1175 S Perry St Ste 200
Castle Rock, CO 80104-0015
Phone
(303) 268-1571
Fax
(303) 660-6376
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34771 CO Primary

Addresses

Primary practice location

1175 S Perry St Ste 200
Castle Rock, CO 80104-0015

Mailing address

4900 S Monaco St Ste 210
Denver, CO 80237-3487
Phone (303) 268-1571

Other identifiers 1

IdentifierTypeStateIssuer
01347715MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHRISTOPHER.CARPENTER@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000477 CO Practitioner - Family Practice 5799744967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Primary Care LLCGroup PAC ID 7012804446, 45 clinicians

Practice addresses (Care Compare)

1175 S Perry St
Suite 200
Castle Rock, CO 80104-0015
Phone (303) 268-1571

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34771COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Regional Medcenter Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christopher.carpenter@hca3.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1508846023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373487",
            "telephone_number": "303-268-1571",
            "fax_number": "303-660-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 S PERRY ST STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801040015",
            "telephone_number": "303-268-1571",
            "fax_number": "303-660-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "34771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01347715",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHRISTOPHER.CARPENTER@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1175 S Perry St Ste 200",
            "city": "Castle Rock",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801040015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.