Active NPI
Trena Britven Carpenter, D.D.S.
- General Practice Dentistry
- Tucson, AZ
National Provider Identifier
1669532057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D6179
- Practice address
- 5190 E Farness Dr Ste 100
Tucson, AZ 85712-2142 - Phone
- (520) 795-3773
- Fax
- (520) 795-4008
- NPI assigned
- Dec 8, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D6179 | AZ | Primary |
Addresses
Primary practice location
5190 E Farness Dr Ste 100
Tucson, AZ 85712-2142
Mailing address
4924 N Louis River Way
Tucson, AZ 85718-4754
Phone (520) 293-7937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150518001052 | WA | Order and Referring Only - Other (Non-Physician) | 4082934922 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6179 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordon K. Roediger, D.D.S., Eastside, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Acacia Family Dental Group
- Dentist
- Tucson, AZ
- NPI 1811171226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669532057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4924 N LOUIS RIVER WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857184754",
"telephone_number": "520-293-7937",
"fax_number": "520-795-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 E FARNESS DR STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122142",
"telephone_number": "520-795-3773",
"fax_number": "520-795-4008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "TRENA",
"middle_name": "BRITVEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D6179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Carondelet St. Joseph's Hospital
- Carondelet St. Mary's Northwest, LLC (Carondelet Foothills Surgery Center)
- Cathy P. Carpenter, M.D.
- Heidi Ana Carpenter, OTD, OTR/L
- Sarah Jane Carpenter, M.D.
- Matthew David Carpinello, MD
- Ariel Elizabeth Carr
- Cameron Carr, OTR
- Chelsea E Carr, PHD, BCBA-D
- Jean M Carr, L.AC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.