Individual provider Active NPI

Priscilla Lee Carpenter, DDS, MS

  • Endodontics
  • Charlotte, NC
National Provider Identifier
1699355925
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
13157 Issued in NC
Practice address
8912 Blakeney Professional Dr Ste 300
Charlotte, NC 28277-6735
Phone
(980) 833-1214
NPI assigned
Apr 12, 2021
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DRPM2339 FL
Endodontics 1223E0200X 13157 NC Primary

Addresses

Primary practice location

8912 Blakeney Professional Dr Ste 300
Charlotte, NC 28277-6735

Mailing address

14109 Glaswick Dr
Charlotte, NC 28278-8668
Phone (704) 222-8800

Other practice location 1

5232 Albemarle Rd Ste C
Charlotte, NC 28212-3644
Phone (704) 536-6774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DRPM2339FLMDEndodontist
13157NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Priscilla Carpenter Lockhart, D.D.S., M.S., P.L.L.C. Endodontics Current Accepting new patients
University of Florida PastSince Apr 1, 2021 Accepting new patients
Tadrissi DDS, PLLC Endodontics PastSince Aug 6, 2023 Accepting new patients
Tadrissi DDS, PLLC Endodontics Past Accepting new patients
Robert R Haglund Jr DMD, MDS,II,PA Endodontics PastSince Aug 6, 2023 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1699355925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14109 GLASWICK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282788668",
            "telephone_number": "704-222-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8912 BLAKENEY PROFESSIONAL DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776735",
            "telephone_number": "980-833-1214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5232 Albemarle Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282123644",
            "country_code": "US",
            "telephone_number": "704-536-6774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "PRISCILLA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DRPM2339",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "13157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.