Canepa Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00007372 Issued in WA

Legal business name

CANEPA DENTAL, LLC

Practice address

1405 SE 164TH Ave
Vancouver, WA 98683-9644

Phone

(360) 514-0707

Fax

(360) 514-9395

NPI assigned

Aug 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Albert B Canepa III, DDS

Title

Dentist

Phone

(360) 514-0707

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1013109115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SE 164TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839644",
            "telephone_number": "360-514-0707",
            "fax_number": "360-514-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SE 164TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839644",
            "telephone_number": "360-514-0707",
            "fax_number": "360-514-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANEPA DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "CANEPA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-514-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Canario, DO
• Loucel Candamo
• Alaina Nichole Candee, LMT
• Alexis Shawn Candelier, PSY.D.
• April Kristine Candiff
• Albert B Canepa III, DDS
• Kristi Lynn Canning-Lee, MS, LMHCA, LPC
• Brandy L Cannon, PA-C
• Breanne Cannon, PA-C
• Jessica Cannon

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.