Organization Active NPI

Carpenter Ear and Hearing SC

  • Hearing and Speech Clinic/Center
  • Green Bay, WI
National Provider Identifier
1982854535
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
98-156 Issued in WI
Legal business name
CARPENTER EAR AND HEARING SC
Practice address
1808 Allouez Ave.
Suite D
Green Bay, WI 54311-6280
Phone
(920) 469-3209
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Mr. Laurence J. Carpenter, M.S.
Title
Audiologist
Phone
(920) 469-3209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 98-156 WI Primary

Addresses

Primary practice location

1808 Allouez Ave.
Suite D
Green Bay, WI 54311-6280

Mailing address

1808 Allouez Ave
Suite D
Green Bay, WI 54311-6280
Phone (920) 469-3209

Other identifiers 1

IdentifierTypeStateIssuer
41119000MedicaidWI

National Provider Directory

National Provider Directory

Locations

1808 Allouez Ave
Ste D
Green Bay, WI 54311
Phone (920) 469-3209

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1982854535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 ALLOUEZ AVE",
            "address_2": "SUITE D",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116280",
            "telephone_number": "920-469-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 ALLOUEZ AVE.",
            "address_2": "SUITE D",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116280",
            "telephone_number": "920-469-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARPENTER EAR AND HEARING SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "920-469-3209",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "WI",
            "license": "98-156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41119000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.