DR. HEATHER CARPENTER DDS
NPI 1194133025
Dentist in Oshkosh, WI

Active since July 23, 2014Opted out of Medicare · through Feb 18, 2028
1720 CONGRESS AVE, OSHKOSH, WI 54901(920) 235-3251(920) 235-3567 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Heather Carpenter Dds NPPES

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

DR. HEATHER CARPENTER DDS (NPI 1194133025) is an individual dentist in Oshkosh, Wisconsin, licensed in Wisconsin (1000970-15) and active in the NPI registry since July 2014. She has opted out of Medicare through February 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194133025
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. HEATHER CARPENTERCredential: DDS
Location Address1720 CONGRESS AVEOshkosh, WI 54901-7701
Mailing Address1720 Congress AveOshkosh, WI 54901-7701 · (920) 235-3251 · Fax (920) 235-3567
Fax(920) 235-3567
Sole ProprietorNo
Enumeration DateJuly 23, 2014
NPI 1194133025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WI · 1000970-15
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1720 CONGRESS AVE, Oshkosh, WI 54901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Heather Carpenter Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 18, 2016 through February 18, 2028.

Opt-Out Effective DateFebruary 18, 2016
Opt-Out In Effect ThroughFebruary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Dentist
1720 CONGRESS AVE
OSHKOSH, WI 54901
Dentist
1720 CONGRESS AVE
OSHKOSH, WI 54901
Dentist (General Practice)
1720 CONGRESS AVE
OSHKOSH, WI 54901
Dentist (General Practice)
1720 CONGRESS AVE
OSHKOSH, WI 54901
Clinic/Center (Dental)
1720 CONGRESS AVE
OSHKOSH, WI 54901
Dentist
1720 CONGRESS AVE
OSHKOSH, WI 54901
Dentist
1720 CONGRESS AVE
OSHKOSH, WI 54901
Dentist
1720 CONGRESS AVE
OSHKOSH, WI 54901

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 Heather Carpenter's NPI number?

The NPI number for Heather Carpenter is 1194133025. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Heather Carpenter located?

Heather Carpenter practices at 1720 Congress Ave, Oshkosh, WI 54901. The listed phone number is (920) 235-3251.

What is Heather Carpenter's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Heather Carpenter enrolled in Medicare?

No. Heather Carpenter has opted out of Medicare through February 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Heather Carpenter accept?

Health plans from Delta Dental of Wisconsin, Inc. list Heather Carpenter 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 Heather Carpenter was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.