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MITCH TY CARPENTER-THOMPSON
NPI 1134746290
Dentist - General Practice in Lake City, MI

Active since July 06, 2020
213 S CANAL ST, LAKE CITY, MI 49651(231) 839-2630 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2021, Jul 6, 2020 (2 updates tracked since 2020).

About Mitch Ty Carpenter-thompson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITCH TY CARPENTER-THOMPSON (NPI 1134746290) is an individual general practice provider in Lake City, Michigan, licensed in Michigan (600446) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1134746290
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMITCH TY CARPENTER-THOMPSON
Location Address213 S CANAL STLake City, MI 49651-8865
Mailing AddressPo Box 719Lake City, MI 49651-0719 · (231) 839-2630
Phone(231) 839-2630
Sole ProprietorYes
Enumeration DateJuly 6, 2020
Last NPPES UpdateOctober 7, 20212 updates tracked since enumeration
NPPES CertifiedOctober 7, 2021
✔ NPI 1134746290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 600446
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 014317 (MI)
213 S CANAL ST, Lake City, MI 49651
Open in Google Maps ↗

Other Identifiers 1

Other600446MI · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKE CITY FAMILY DENTISTRY
Dentist (General Practice)
213 S CANAL ST
LAKE CITY, MI 49651
Missaukee County (231) 839-2630
LAKE CITY FAMILY DENTISTRY
Dentist (General Practice)
213 S CANAL ST
LAKE CITY, MI 49651
Missaukee County (231) 839-2630
MRS. SUSAN L SHORE-VIGNOLA D.D.S.
Dentist (General Practice)
213 S CANAL ST
LAKE CITY, MI 49651
Missaukee County (231) 839-2630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitch Carpenter-thompson's NPI number?

The NPI number for Mitch Carpenter-thompson is 1134746290. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Mitch Carpenter-thompson located?

Mitch Carpenter-thompson practices at 213 S Canal St, Lake City, MI 49651. The listed phone number is (231) 839-2630.

What is Mitch Carpenter-thompson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mitch Carpenter-thompson accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Mitch Carpenter-thompson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitch Carpenter-thompson was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.