Individual provider Active NPI

Leslie M. Horning Carpenter, D.D.S.

  • General Practice Dentistry
  • Pasadena, CA
National Provider Identifier
1871695171
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
036941 Issued in CA
Practice address
200 S Oak Knoll Ave
Suite 102
Pasadena, CA 91101-2912
Phone
(626) 795-4369
Fax
(626) 795-4357
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 036941 CA Primary

Addresses

Primary practice location

200 S Oak Knoll Ave
Suite 102
Pasadena, CA 91101-2912

Mailing address

200 S Oak Knoll Ave
Suite 102
Pasadena, CA 91101-2912
Phone (626) 795-4369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220001115 CA Order and Referring Only - DentistPractitioner - Dentist 0547541104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36941CAMDChiropractor
036941CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1871695171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S OAK KNOLL AVE",
            "address_2": "SUITE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012912",
            "telephone_number": "626-795-4369",
            "fax_number": "626-795-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S OAK KNOLL AVE",
            "address_2": "SUITE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012912",
            "telephone_number": "626-795-4369",
            "fax_number": "626-795-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "LESLIE",
        "middle_name": "M. HORNING",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "036941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.