Penelope Anne Carpenter, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1478 Issued in WA

Practice address

3713 Rucker #1
Carpenter Chiropractic Center
Everett, WA 98201-4632

Phone

(425) 258-1300

Fax

(425) 259-7240

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Penny Anne Marich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deatherage Chiropractic PLLC

  • Chiropractor
  • Everett, WA
  • NPI 1295497014
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679587315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 RUCKER #1",
            "address_2": "CARPENTER CHIROPRACTIC CENTER",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014632",
            "telephone_number": "425-258-1300",
            "fax_number": "425-259-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 RUCKER #1",
            "address_2": "CARPENTER CHIROPRACTIC CENTER",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014632",
            "telephone_number": "425-258-1300",
            "fax_number": "425-259-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "PENELOPE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "1478",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "4416",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "MARICH",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa M Carpenter-Hammons
• Katherine Doreen Carpenter
• Marta Jean Carpenter, RN
• Michael D Carpenter, MD
• Nicholas James Carpenter
• Starla Jean Carpenter, RN
• Samuel Michael Carr, MSPT
• Todd S Carran, MD
• Vivian L Carraway, VIVIAN CARRAWAY
• Desiree Carrazco

• Chiropractor in Everett, WA
• Providers in Everett, WA by specialty
• Chiropractor in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.