DR. DUSTIN CHARLES CARPENTER (NPI# 1396033072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396033072 |
| Entity Type | Individual |
| Full Name | DR. DUSTIN CHARLES CARPENTER |
| Credential | M.D. |
| Practice Address |
514 State St Mound City MO 64470-1145 |
| Mailing Address |
909 N 6th St Tarkio MO 64491-1119 |
| Practice Telephone | 6606862329 |
| Practice Fax Number | 6606862799 |
| Mailing Telephone | 8163098028 |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2014-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 6444 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659638005 | Dustin J Carpenter | Transplant Surgery | 177 Ft Washington Ave 7gs Rm 313, New York, NY 10032-3733 | 2012-04-23 |
| 1477029486 | Dustin Carpenter | Nurse Anesthetist, Certified Registered | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2018-10-17 |
| Street Address |
514 STATE ST |
| City | MOUND CITY |
| State | MO |
| Zip Code | 64470-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669022174 | Lauren G Dozier | Nurse Practitioner | 514 State St, Mound City, MO 64470-1145 | 2019-09-17 |
| 1518174507 | Community Hospital Association | Clinic/Center | 514 State St, Mound City, MO 64470-1145 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952507766 | Tiffany Care Centers, Inc | Registered Nurse | 1105 State St., Mound City, MO 64470-0308 | 2007-06-27 |
| 1144394313 | Tiffany Care Centers, Inc | Chore Provider | 1105 State St, Mound City, MO 64470-0308 | 2006-11-20 |
| 1740259654 | M Rogers Inc & Subsidiary | Durable Medical Equipment & Medical Supplies | 607 State St, Mound City, MO 64470-1146 | 2006-03-14 |
| 1205383056 | Nancy Johnson | Pharmacist | 607 State St, Mound City, MO 64470-1146 | 2016-09-08 |
| 1174070239 | Lamoyne Dungan | Pharmacist | 607 State St, Mound City, MO 64470-1146 | 2016-09-07 |
| 1275574873 | M. Rogers, Inc. & Subsidiary | Pharmacy | 607 State St, Mound City, MO 64470-1146 | 2006-06-08 |
| 1578984027 | Rachel Sharp | Chiropractor | 105 W 6th St, Mound City, MO 64470-1160 | 2014-01-01 |
| 1164847935 | Mound City Chiropractic LLC | Chiropractor | 105 W 6th St, Mound City, MO 64470-1160 | 2014-03-03 |
| 1295865988 | Mound City R-2 School District | Local Education Agency (LEA) | 708 Nebraska St, Mound City, MO 64470-1251 | 2007-03-06 |
| 1043583818 | Luna Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 High St, Mound City, MO 64470-1315 | 2012-02-09 |
| Find all providers in zip 64470 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790972495 | Maria Magnolia Soriano Espejo | Family Medicine | 1303 State St, Mound City, MO 64470-1717 | 2007-09-27 |
| 1437270915 | Northwest Health Services, Inc | Family Medicine | 1303 State Street, Mound City, MO 64470-1717 | 2007-04-03 |
| 1447231717 | Jay Allen | Family Medicine | 302 N 1st St, Mound City, KS 66056-5279 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1326652579 | Linda Diane Watson | Family Medicine | 338 Emerson Rd Apt 104, High Ridge, MO 63049-2530 | 2020-09-04 |
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
| City | MOUND CITY |
| Zip Code | 64470 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.