Raymond E Carpenter D D S Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

RAYMOND E CARPENTER D D S INC

Practice address

4320 Genesee Ave Ste 207
San Diego, CA 92117-4900

Phone

(858) 775-6361

NPI assigned

Jan 18, 2024

Organization subpart

No

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

Authorized official

Name

Raymond E Carpenter, D D SNPI 1215076534

Title

Owner

Phone

(858) 775-6361

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond E. Carpenter, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • San Diego, CA
  • NPI 1215076534

  Prosthodontics

  Medicare reassignment NPD Authorized official
• William Frederick Halligan, DDS

  • Dentist
  • San Diego, CA
  • NPI 1326169954
  NPD (past)
• Linda Ann Lukacs, DDS

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1053627554
  NPD (past)

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1780445601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 GENESEE AVE STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174900",
            "telephone_number": "858-775-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 GENESEE AVE STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174900",
            "telephone_number": "858-775-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND E CARPENTER D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-775-6361",
        "authorized_official_credential": "D D S"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovanna Raygoza
• Priscilla Celeste Raygoza
• Chelsea Brooks Rayman, BS
• Susan Rayman, MD
• Raymar & Co Enterprises LLC
• Raymond Heung, M.D.
• Raymond I Press M.D.
• Raymond Y Chan MD a Professional Corporation
• Jessica Meneses Raymond, RN
• Kelli Raymond

• Oral and Maxillofacial Surgery (Dentist) in San Diego, CA
• Providers in San Diego, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.