Active NPI
Joseph Dicaprio, D.D.S.
- General Practice Dentistry
- Newport Beach, CA
National Provider Identifier
1013047612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33568
- Practice address
- 20072 SW Birch St
Ste. 150
Newport Beach, CA 92660-0794 - Phone
- (949) 752-2012
- Fax
- (949) 752-2016
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33568 | CA | Primary |
Addresses
Primary practice location
20072 SW Birch St
Ste. 150
Newport Beach, CA 92660-0794
Mailing address
20072 SW Birch St
Ste. 150
Newport Beach, CA 92660-0794
Phone (949) 752-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33568 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013047612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20072 SW BIRCH ST",
"address_2": "STE. 150",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926600794",
"telephone_number": "949-752-2012",
"fax_number": "949-752-2016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20072 SW BIRCH ST",
"address_2": "STE. 150",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926600794",
"telephone_number": "949-752-2012",
"fax_number": "949-752-2016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICAPRIO",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "33568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.