Organization Active NPI

David a. Carpenter,M.D.,P.a.

  • Gynecology Physician
  • Paris, TX
National Provider Identifier
1942505573
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D9385 Issued in TX
Legal business name
DAVID A. CARPENTER,M.D.,P.A.
Practice address
2850 Lewis LN Ste 113
Paris, TX 75460-9378
Phone
(903) 784-0410
Fax
(903) 784-0288
NPI assigned
Jan 12, 2011
Last updated
Jan 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Dr. David Allen Carpenter, M.D.
Title
Owner
Phone
(903) 784-0410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X D9385 TX Primary

Addresses

Primary practice location

2850 Lewis LN Ste 113
Paris, TX 75460-9378

Mailing address

2850 Lewis LN Ste 113
Paris, TX 75460-9378
Phone (903) 784-0410

Other identifiers 1

IdentifierTypeStateIssuer
089750601MedicaidTX

National Provider Directory

National Provider Directory

Locations

2850 Lewis Ln
Ste 113
Paris, TX 75460
Phone (903) 706-5173

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1942505573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN STE 113",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609378",
            "telephone_number": "903-784-0410",
            "fax_number": "903-784-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN STE 113",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609378",
            "telephone_number": "903-784-0410",
            "fax_number": "903-784-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. CARPENTER,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-784-0410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "D9385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089750601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.