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MARY S CARPENTER MD
NPI 1417038100
Family Medicine in Burke, SD

Active since October 18, 2006
809 JACKSON ST, BURKE, SD 57523(605) 775-2631(605) 775-2564 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary S Carpenter Md NPPES

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

MARY S CARPENTER MD (NPI 1417038100) is an individual family medicine provider in Burke, South Dakota, licensed in South Dakota (1484) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417038100
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY S CARPENTERCredential: MD
Location Address809 JACKSON STBurke, SD 57523-2065
Mailing Address809 Jackson Street, Po Box 358Burke, SD 57523 · (605) 775-2631 · Fax (605) 775-2564
Phone(605) 775-2631
Fax(605) 775-2564
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateDecember 6, 2013
✔ NPI 1417038100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 1484
Definition
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.
809 JACKSON ST, Burke, SD 57523
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Other Identifiers 7

Other0851370001Dme
Medicare PIN7934SD
Medicaid5604133SD
Medicaid5604130SD
Medicare UPIND25212SD
Medicaid5604132SD
Medicare ID-Type Unspecified9648SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.Insurance ›

Other Providers at the Same Location NPPES 11

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

BRITTNEY MICHELE KORTHALS CNP
Nurse Practitioner (Family)
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2621
TONY L BERG MD
Family Medicine
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2631
COMMUNITY MEMORIAL HOSPITAL, INC
General Acute Care Hospital (Critical Access)
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2631
DEBRA K LEIBEL CNP
Nurse Practitioner (Family)
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2631
COMMUNITY MEMORIAL HOSPITAL, INC
Clinic/Center (Rural Health)
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2631
COMMUNITY MEMORIAL HOSPITAL INC
Clinic/Center (Critical Access Hospital)
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2621
MEGAN M SMITH M.D.
Family Medicine
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2631
COMMUNITY MEMORIAL HOSPITAL
Home Health
809 JACKSON ST
BURKE, SD 57523
Gregory County (605) 775-2621

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 Mary Carpenter's NPI number?

The NPI number for Mary Carpenter is 1417038100. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Mary Carpenter located?

Mary Carpenter practices at 809 Jackson St, Burke, SD 57523. The listed phone number is (605) 775-2631.

What is Mary Carpenter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Mary Carpenter accept?

Health plans from Avera Health Plans list Mary 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 Mary Carpenter was last updated on December 6, 2013. 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.