Clifton Aubrey Carpenter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D009534 Issued in AZ

Practice address

2450 S White Mountain Rd Ste 1
Show Low, AZ 85901-7384

Phone

(928) 892-5252

NPI assigned

Jul 19, 2016

Last updated

Jul 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1548613185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 S 17TH PL",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859016124",
            "telephone_number": "281-796-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S WHITE MOUNTAIN RD STE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017384",
            "telephone_number": "928-892-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CLIFTON",
        "middle_name": "AUBREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cactus Valley Anesthesia PLC
• Jordan Dale Call, PHARM. D.
• Jean Ronelle Callihan, LMFT, LISAC
• Marcelene Camou, LPCC
• Leslie Campbell
• Emily Grace Carreon, IBCLC, LVN
• Center for Sexual and Urinary Function
• Changepoint Integrated
• Changepoint Integrated Health
• Changepoint Integrated Health

• Dentist in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.