Individual provider Active NPI

Dominique A Carpentier, M.D.

  • Family Medicine Physician
  • Durham, NH
National Provider Identifier
1720043516
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16505 Issued in NH
Practice address
44 Newmarket Rd
Durham, NH 03824-2826
Phone
(603) 868-5832
Fax
(603) 868-5408
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16505 NH Primary

Addresses

Primary practice location

44 Newmarket Rd
Durham, NH 03824-2826

Mailing address

7 Holland Way FL 1
Exeter, NH 03833-2997
Phone (603) 868-5832

Other practice location 1

161 Corporate Dr
Portsmouth, NH 03801-6825
Phone (603) 431-5154

Other identifiers 1

IdentifierTypeStateIssuer
3098659MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dominique.carpentier.1@5857.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080403000143 ME Practitioner - Family Practice 0244317030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin'S Point Health Care, Inc.Group PAC ID 5991776635, 91 clinicians

Practice addresses (Care Compare)

61 Barra Rd
Biddeford, ME 04005-9459
Phone (207) 283-1441

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1720043516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HOLLAND WAY FL 1",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332997",
            "telephone_number": "603-868-5832",
            "fax_number": "603-868-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 NEWMARKET RD",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038242826",
            "telephone_number": "603-868-5832",
            "fax_number": "603-868-5408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038016825",
            "country_code": "US",
            "telephone_number": "603-431-5154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTIER",
        "first_name": "DOMINIQUE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "16505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3098659",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dominique.carpentier.1@5857.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "161 Corporate Dr",
            "city": "Portsmouth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038016825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NH

Sources for this page

Verify at the official NPI Registry.