Charles Mark Carpenter, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4665 Issued in NV

Practice address

1500 E 2ND St
Suite 206
Reno, NV 89502-1181

Phone

(775) 789-7000

Fax

(775) 789-7040

NPI assigned

Oct 11, 2005

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 4

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1942298112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E 2ND ST",
            "address_2": "SUITE 206",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021181",
            "telephone_number": "775-789-7000",
            "fax_number": "775-789-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 2ND ST",
            "address_2": "SUITE 206",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021181",
            "telephone_number": "775-789-7000",
            "fax_number": "775-789-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CHARLES",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "4665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "CC4367",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XPY187231",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016467",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CC4367",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annette M Carney, MFT
• Tera Carney
• Carols Schaye
• Carolyn E. Simmons MD PC
• Jeannette L Caron, SLP
• Maridy Carpenter
• Carr Services Prof Corp
• Salena Lynn Carr-Piccioni
• Anna Elise Carr, PHARMD
• Jordan McKenna Carr

• Surgery Physician in Reno, NV
• Providers in Reno, NV by specialty
• Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.