RAYMOND E CARPENTER D D S INC
NPI 1780445601
Dentist - Oral and Maxillofacial Surgery in San Diego, CA

Active since January 18, 2024
4320 GENESEE AVE STE 207, SAN DIEGO, CA 92117(858) 775-6361 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Raymond E Carpenter D D S Inc NPPES

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

RAYMOND E CARPENTER D D S INC (NPI 1780445601) is a healthcare organization registered as an oral and maxillofacial surgery in San Diego, California and active in the NPI registry since January 2024. The organization lists Raymond E Carpenter, Owner, as its authorized official.

NPPES Registry Identity

NPI1780445601
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameRAYMOND E CARPENTER D D S INC
Location Address4320 GENESEE AVE STE 207San Diego, CA 92117-4900
Mailing Address4320 Genesee Ave Ste 207San Diego, CA 92117-4900 · (858) 775-6361
Organization SubpartNo
Authorized OfficialRaymond E CarpenterOwner · (858) 775-6361
Enumeration DateJanuary 18, 2024
Last NPPES UpdateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1780445601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
Also ListedDentist · Orofacial PainTaxonomy 1223X2210X
4320 GENESEE AVE STE 207, San Diego, CA 92117

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raymond E Carpenter D D S Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Raymond E Carpenter D D S Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1215076534
4320 GENESEE AVE STE 207
San Diego, CA 92117
(858) 277-3910
✔ PECOS✔ Accepts MedicareSame address

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

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 Raymond E Carpenter D D S Inc's NPI number?

The NPI number for Raymond E Carpenter D D S Inc is 1780445601. It was assigned to this organization in the NPPES registry on January 18, 2024.

Where is Raymond E Carpenter D D S Inc located?

Raymond E Carpenter D D S Inc is located at 4320 Genesee Ave Ste 207, San Diego, CA 92117. The listed phone number is (858) 775-6361.

What is Raymond E Carpenter D D S Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Raymond E Carpenter D D S Inc enrolled in Medicare?

Yes. Raymond E Carpenter D D S Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Raymond E Carpenter D D S Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Raymond E Carpenter D D S Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Raymond E Carpenter D D S Inc was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.