Chad M. Carpenter DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D05042525 Issued in SD

Legal business name

CHAD M. CARPENTER DDS

Practice address

2525 W Main St
Suite #307
Rapid City, SD 57702-0901

Phone

(605) 342-5995

NPI assigned

Jun 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chad M Carpenter, DDS PCNPI 1578640009

Title

Dentist

Phone

(605) 342-5995

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad Carpenter, DDS,PC

  • General Practice Dentistry
  • Rapid City, SD
  • NPI 1578640009
  Authorized official Same address or phone

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669675724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST",
            "address_2": "SUITE #307",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020901",
            "telephone_number": "605-342-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST",
            "address_2": "SUITE #307",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020901",
            "telephone_number": "605-342-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD M. CARPENTER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "605-342-5995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D05042525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laurie Ceremuga
• Becky A Cermak, ACUPUNCTURIST
• Catherine Chandler
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• Yvonne Jean Chase, CSW
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• General Practice Dentistry in Rapid City, SD
• Providers in Rapid City, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.