Active NPI
Joshua Carpenter, AU.D., CCC-A, F-AAA
- Audiologist
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 31109
- Practice address
- 2205 NW Shevlin Park Rd
Bend, OR 97703-7195 - Phone
- (541) 678-5698
- Fax
- (541) 306-4551
- NPI assigned
- Jun 11, 2019
- Last updated
- Oct 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 31109 | OR | Primary |
Addresses
Primary practice location
2205 NW Shevlin Park Rd
Bend, OR 97703-7195
Mailing address
2205 NW Shevlin Park Rd
Bend, OR 97703-7195
Phone (541) 678-5698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2026 Caribou Dr
Unit 102
Fort Collins, CO 80525-4327
Phone (970) 221-5011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2370 | KS | MD | Clinical Social Worker |
| 31109 | OR | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Doctor 2U LLC | Audiologist | Current | Accepting new patients |
| Whitney Swander Audiology, Inc | Audiologist | Current | Accepting new patients |
| Zimmerman Group, LLC | Audiologist | Current | Accepting new patients |
| Via Christi Rehabilitation Hospital, Inc | Past | Accepting new patients | |
| Ear,Nose,Throat &Allergy Associates PS | Past | Accepting new patients |
Locations
4800 Baseline Rd
Ste E108
Boulder, CO 80303
Phone (303) 499-3900
2026 Caribou Dr
Unit 102
Fort Collins, CO 80525
Phone (970) 221-5011
1315 Vivian St
Longmont, CO 80501
Phone (303) 776-8748
2055 NW Shevlin Park Rd
Bend, OR 97703
2205 NW Shevlin Park Rd
Bend, OR 97703
Phone (541) 678-5698
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.
-
dba Hearing HealthCare Centers
- Audiologist
- Longmont, CO
- NPI 1720237597
-
- Audiologist
- Conway, SC
- NPI 1184981425
-
dba Northwest Hearing Center
- Audiologist-Hearing Aid Fitter
- Puyallup, WA
- NPI 1851517528
-
dba Via Christi Occupational & Environmental Medicine
- Family Medicine Physician
- Wichita, KS
- NPI 1598001331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1790344851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 NW SHEVLIN PARK RD",
"city": "BEND",
"state": "OR",
"postal_code": "977037195",
"telephone_number": "541-678-5698",
"fax_number": "541-306-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 NW SHEVLIN PARK RD",
"city": "BEND",
"state": "OR",
"postal_code": "977037195",
"telephone_number": "541-678-5698",
"fax_number": "541-306-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "JOSHUA",
"credential": "AU.D., CCC-A, F-AAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-11",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "31109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.