MAX CARPENTER
NPI 1508492885
Dentist in Milwaukee, WI

Active since March 18, 2020PECOS Enrolled
3522 W LISBON AVE, MILWAUKEE, WI 53208(414) 935-8000(414) 935-8011 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2020, Apr 22, 2020, Mar 18, 2020 (3 updates tracked since 2020).

About Max Carpenter NPPES

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

MAX CARPENTER (NPI 1508492885) is an individual dentist in Milwaukee, Wisconsin, licensed in Wisconsin (1002306-15) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508492885
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMAX CARPENTER
Location Address3522 W LISBON AVEMilwaukee, WI 53208-1953
Mailing Address1210 N 62nd St Apt 321Wauwatosa, WI 53213-3063 · (616) 558-3697
Fax(414) 935-8011
Sole ProprietorNo
Enumeration DateMarch 18, 2020
Last NPPES UpdateAugust 13, 20203 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
✔ NPI 1508492885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 1002306-15
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.
3522 W LISBON AVE, Milwaukee, WI 53208

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Max Carpenter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Max Carpenter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
3522 W LISBON AVE
Milwaukee, WI 53208
  • Reassigned Medicare billing, Wisconsin enrollment
  • 50 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53208 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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
3522 W LISBON AVE
MILWAUKEE, WI 53208
Physician Assistant
3522 W LISBON AVE
MILWAUKEE, WI 53208
Social Worker (Clinical)
3522 W LISBON AVE
MILWAUKEE, WI 53208
Family Medicine
3522 W LISBON AVE
MILWAUKEE, WI 53208
Family Medicine
3522 W LISBON AVE
MILWAUKEE, WI 53208
Physician Assistant (Medical)
3522 W LISBON AVE
MILWAUKEE, WI 53208
Dental Hygienist
3522 W LISBON AVE
MILWAUKEE, WI 53208
Dentist
3522 W LISBON AVE
MILWAUKEE, WI 53208

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 Max Carpenter's NPI number?

The NPI number for Max Carpenter is 1508492885. It was assigned to this individual provider in the NPPES registry on March 18, 2020.

Where is Max Carpenter located?

Max Carpenter practices at 3522 W Lisbon Ave, Milwaukee, WI 53208. The listed phone number is (414) 935-8000.

What is Max Carpenter's specialty?

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

Is Max Carpenter enrolled in Medicare?

Yes. Max Carpenter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Max Carpenter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Max Carpenter reassigns Medicare benefits to Progressive Community Health Centers, Inc. (Milwaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Max Carpenter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Max Carpenter accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Dominion National and 3 other insurers list Max 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 Max Carpenter was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.