Conor Smith Carpenter, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042.0014046 Issued in VT

Practice address

130 Fisher Rd
Berlin, VT 05602

Phone

(802) 371-4316

NPI assigned

Jun 10, 2014

Last updated

Jul 12, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Central Vermont Medical Center Inc

  • Family Medicine Physician
  • Berlin, VT
  • NPI 1023028784

  Psychiatry

  Medicare reassignment NPD
• Central Vermont Medical Center Inc

  dba Central Vermont Hospital

  • Internal Medicine Physician
  • Berlin, VT
  • NPI 1831374362

  Psychiatry

  Medicare reassignment NPD
• State of Vermont

  dba Vermont Psychiatric Care Hospital

  • Psychiatric Hospital
  • Berlin, VT
  • NPI 1043567977
  Medicare reassignment NPD
• University of Vermont Medical Center Inc

  dba Uvm Medical Center

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615
  Medicare reassignment NPD
• State of Vermont

  dba Vermont Department of Health Laboratory

  • Clinical Medical Laboratory
  • Colchester, VT
  • NPI 1215151410
  NPD

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1902219694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "401-455-6357",
            "fax_number": "401-455-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FISHER RD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "05602",
            "telephone_number": "802-371-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CONOR",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "LP02305",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042.0014046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann E. Burzynski, APRN
• Amy A Buzzi, NP
• Paul F Cameron, MD
• Quincy Campbell, FNP-C
• Jay D. Carey, MA
• Central Vermont Anesthesia Associates, Inc.
• Central Vermont Cardiology Associates Inc.
• Central Vermont Medical Center Inc
• Central Vermont Medical Center Inc (Woodridge Nursing Home)
• Central Vermont Medical Center Inc

• Psychiatry Physician in Berlin, VT
• Providers in Berlin, VT by specialty
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.