Active NPI
Kapil Thacker, DMD
- Dentist
- Evansville, WI
National Provider Identifier
1033845219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6001046-15
- Practice address
- 449 S 1St St
Evansville, WI 53536-1394 - Phone
- (608) 882-4338
- NPI assigned
- Jul 28, 2022
- Reactivated
- Mar 1, 2023
- Last updated
- Apr 1, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6001046-15 | WI | Primary |
Addresses
Primary practice location
449 S 1St St
Evansville, WI 53536-1394
Mailing address
5124 Central Park PL Apt 242
Fitchburg, WI 53711-9319
Phone (630) 347-4752
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 |
|---|---|---|---|
| 6001046-15 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No Fear Dentistry Sun Prairie LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1033845219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5124 CENTRAL PARK PL APT 242",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537119319",
"telephone_number": "630-347-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 S 1ST ST",
"city": "EVANSVILLE",
"state": "WI",
"postal_code": "535361394",
"telephone_number": "608-882-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACKER",
"first_name": "KAPIL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-28",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"deactivation_date": "2023-02-20",
"reactivation_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6001046-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.