Mike Carpenter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9586 Issued in CO

Legal business name

MIKE CARPENTER, DDS

Practice address

3093 Broadway St
Boulder, CO 80304-3151

Phone

(303) 443-1703

NPI assigned

Mar 10, 2015

Organization subpart

No

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

Authorized official

Name

Donna Luehrs

Title

Billing Specialist

Phone

(303) 443-1703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1710370176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3093 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043151",
            "telephone_number": "303-443-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3093 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043151",
            "telephone_number": "303-443-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE CARPENTER, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "LUEHRS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "303-443-1703"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "9586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Midgley, MA, LAC, LPC
• Jacob Midkiff, MA
• Barry Migicovsky, M.D.
• Kendra Miguez
• Migun in Boulder
• Mary Mikulinsky, MA
• Jessica L Milchak, PHARM.D.
• Mile High Plastic Surgery a Professional LLC (Aura Skin and Plastic Surgery)
• Elise Brigitte Miles, OTD, OTR/L
• Milestones Moments Co LLC

• Dentist in Boulder, CO
• Providers in Boulder, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.