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JOE L CARPENTER DMD
NPI 1831164466
Dentist - Oral and Maxillofacial Surgery in Canton, OH

Active since February 17, 2006Opted out of Medicare · through Apr 1, 2028
4774 MUNSON ST. NW, SUITE 102, CANTON, OH 44718(330) 494-6653(330) 494-6630 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joe L Carpenter Dmd NPPES

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

JOE L CARPENTER DMD (NPI 1831164466) is an individual oral and maxillofacial surgery provider in Canton, Ohio, licensed in Ohio (17113) and active in the NPI registry since February 2006. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1831164466
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJOE L CARPENTERCredential: DMD
Location Address4774 MUNSON ST. NW, SUITE 102Canton, OH 44718
Mailing Address4774 Munson St. Nw, Suite 102Canton, OH 44718 · (330) 494-6653 · Fax (330) 494-6630
Phone(330) 494-6653
Fax(330) 494-6630
Sole ProprietorYes
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJanuary 28, 2020
✔ NPI 1831164466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OH · 17113
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.
4774 MUNSON ST. NW, Canton, OH 44718
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Other Identifiers 1

Medicaid0797955OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Joe L Carpenter Dmd 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 April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Joe Carpenter's NPI number?

The NPI number for Joe Carpenter is 1831164466. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Joe Carpenter located?

Joe Carpenter practices at 4774 Munson St. NW Suite 102, Canton, OH 44718. The listed phone number is (330) 494-6653.

What is Joe Carpenter's specialty?

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

Is Joe Carpenter enrolled in Medicare?

No. Joe Carpenter has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Joe Carpenter was last updated on January 28, 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.