Kenneth Carpenter, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

29140 Issued in WA

Practice address

2901 Squalicum Pkwy
Bellingham, WA 98225-1851

Phone

(360) 734-5400

NPI assigned

Jun 24, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871599795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 SQUALICUM PKWY",
            "address_2": "STE B10",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251854",
            "telephone_number": "360-733-0430",
            "fax_number": "360-733-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251851",
            "telephone_number": "360-734-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "29140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8157885",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel K Carlson
• Carmen L Witte Leamprdh
• Amy Renee Carney, RN
• Gianna Michele Carotenuto, MA
• Kelby Jo Carpenter
• Stephanie Carr, MD, MBA
• Emily Rose Carraux
• Michael John Carrigan, MD
• Monica Carrillo, MD
• Caylen Carrothers, LMT

• Diagnostic Radiology Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.