Individual provider Active NPI

Dave S. Carpenter, DDS

  • General Practice Dentistry
  • Beaumont, TX
National Provider Identifier
1629071915
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13727 Issued in TX
Practice address
3560 Delaware St
Ste 1003
Beaumont, TX 77706-3026
Phone
(409) 898-4300
Fax
(409) 898-2777
NPI assigned
May 31, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13727 TX Primary

Addresses

Primary practice location

3560 Delaware St
Ste 1003
Beaumont, TX 77706-3026

Mailing address

3560 Delaware Ste.
Suite 1003
Beaumont, TX 77706
Phone (409) 898-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160215001649 TX Order and Referring Only - DentistPractitioner - Dentist 9830227859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baptist Beaumont HospitalBeaumont, TX, CCN 450346 Hospital Corporate Director Jan 1, 2010
Baptist Beaumont HospitalBeaumont, TX, CCN 45T346 Hospital Corporate Director Jan 1, 2010
Baptist Beaumont HospitalBeaumont, TX, CCN 45S346 Hospital Corporate Director Jan 1, 2010

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629071915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE STE.",
            "address_2": "SUITE 1003",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "409-898-4300",
            "fax_number": "409-898-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "STE 1003",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063026",
            "telephone_number": "409-898-4300",
            "fax_number": "409-898-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "DAVE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.