Individual provider Active NPI

Raymond A Capiola, D.M.D.

  • Dentist
  • White Plains, NY
National Provider Identifier
1043407356
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
030126 Issued in NY
Practice address
171 E Post Rd Ste 209
White Plains, NY 10601-4924
Phone
(914) 949-7860
Fax
(914) 949-3096
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 030126 NY Primary

Addresses

Primary practice location

171 E Post Rd Ste 209
White Plains, NY 10601-4924

Mailing address

171 E Post Rd Ste 209
White Plains, NY 10601-4924
Phone (914) 949-7860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160615001480 NY Order and Referring Only - DentistPractitioner - Dentist 5496046831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030126NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1043407356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 E POST RD STE 209",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014924",
            "telephone_number": "914-949-7860",
            "fax_number": "914-949-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 E POST RD STE 209",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014924",
            "telephone_number": "914-949-7860",
            "fax_number": "914-949-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPIOLA",
        "first_name": "RAYMOND",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "030126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.