Individual provider Active NPI

Renato A Carpinito, D.M.D.

  • General Practice Dentistry
  • Medford, MA
National Provider Identifier
1710043534
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17577 Issued in MA
Practice address
38 High St
Medford, MA 02155-3820
Phone
(781) 393-9000
Fax
(781) 393-0052
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17577 MA Primary

Addresses

Primary practice location

38 High St
Medford, MA 02155-3820

Mailing address

38 High St
Medford, MA 02155-3820
Phone (781) 393-9000

Other identifiers 2

IdentifierTypeStateIssuer
58695OtherMAUNITED CONCORDIA
X10649OtherMABLUE CROSSBLUE SHIELDS MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160516000932 MA Order and Referring Only - DentistPractitioner - Dentist 8628367661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17577MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Renato Carpinito, D.M.D. General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1710043534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553820",
            "telephone_number": "781-393-9000",
            "fax_number": "781-393-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553820",
            "telephone_number": "781-393-9000",
            "fax_number": "781-393-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPINITO",
        "first_name": "RENATO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "58695",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHIELDS MA",
            "identifier": "X10649",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.