Organization Active NPI

Dr. Rick a. Carpenter

  • Ophthalmology Physician
  • Hilo, HI
National Provider Identifier
1669969093
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DOS-842 Issued in HI
Legal business name
DR. RICK A. CARPENTER
Practice address
111 Aupuni St Ste 101
Hilo, HI 96720-4233
Phone
(808) 935-2964
Fax
(808) 961-6421
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
David S Mathers
Title
Office Manager
Phone
(808) 935-2964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X DOS-842 HI Primary

Addresses

Primary practice location

111 Aupuni St Ste 101
Hilo, HI 96720-4233

Mailing address

111 Aupuni St Ste 101
Hilo, HI 96720-4233
Phone (808) 935-2964

Other identifiers 1

IdentifierTypeStateIssuer
215846MedicaidHI

National Provider Directory

National Provider Directory

Locations

111 Aupuni St
Ste 101
Hilo, HI 96720
Phone (808) 935-2964

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1669969093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 AUPUNI ST STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204233",
            "telephone_number": "808-935-2964",
            "fax_number": "808-961-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 AUPUNI ST STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204233",
            "telephone_number": "808-935-2964",
            "fax_number": "808-961-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICK A. CARPENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "MATHERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-935-2964"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "DOS-842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215846",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.