Active NPI
Shana H Capra, D.D.S
- Pediatric Dentistry
- Delray Beach, FL
National Provider Identifier
1033518485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN20910
- Practice address
- 15065 S State Road 7 Ste 650
Delray Beach, FL 33446-4110 - Phone
- (561) 840-5437
- Fax
- (561) 840-1042
- NPI assigned
- Aug 21, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN20910 | FL | Primary |
Addresses
Primary practice location
15065 S State Road 7 Ste 650
Delray Beach, FL 33446-4110
Mailing address
15065 S State Road 7 Ste 650
Delray Beach, FL 33446-4110
Phone (561) 840-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013292400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN20910 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kids Dental Practice | Pediatric Dentistry | Current | Accepting new patients |
| Dentaland PA | Past | Accepting new patients |
Locations
15065 S State Road 7
Ste 650
Delray Beach, FL 33446
Phone (561) 840-5437
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Delray Beach, FL
- NPI 1972168839
-
- Dentist
- Coral Springs, FL
- NPI 1932378452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1033518485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15065 S STATE ROAD 7 STE 650",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334464110",
"telephone_number": "561-840-5437",
"fax_number": "561-840-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15065 S STATE ROAD 7 STE 650",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334464110",
"telephone_number": "561-840-5437",
"fax_number": "561-840-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPRA",
"first_name": "SHANA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-21",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN20910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013292400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.