Fred W Carpenter DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

FRED W CARPENTER DDS

Practice address

1514 White Bear Ave
St Paul, MN 55106-1695

Phone

(651) 771-7719

Fax

(651) 774-3712

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Fred William Carpenter, DDSNPI 1588636773

Title

Orthodontist

Phone

(651) 771-7719

Specialties & licenses 1

Addresses

Practitioners 1

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

• Fred William Carpenter, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Paul, MN
  • NPI 1588636773
  NPD (past) Authorized official

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1831365006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 WHITE BEAR AVE",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551061695",
            "telephone_number": "651-771-7719",
            "fax_number": "651-774-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 WHITE BEAR AVE",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551061695",
            "telephone_number": "651-771-7719",
            "fax_number": "651-774-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED W CARPENTER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "651-771-7719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Robert Frattalone, MD
• Mary Fratto
• Danielle Mae Frazee, MD
• Christina H Frazel, MD
• Rachel M Frazin, CNP
• William Howard Fredericks, DO
• Erin Terese Fredrick-Gray, MS, PSYD, LP
• Brent Curtis Fredrickson, DDS
• Laura Fredrickson
• Mary Fredrickson, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in St Paul, MN
• Providers in St Paul, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.