Individual provider Active NPI

Melani Helene Kapetanakos, D.D.S.

  • Prosthodontics
  • University Park, FL
National Provider Identifier
1083875975
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
051581 Issued in NY
Practice address
8035 Cooper Creek Blvd Unit 115
University Park, FL 34201-2028
Phone
(212) 319-6363
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 051581 NY Primary

Addresses

Primary practice location

8035 Cooper Creek Blvd Unit 115
University Park, FL 34201-2028

Mailing address

5580 46TH CT W
Bradenton, FL 34210-6602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210129000774 MA Order and Referring Only - DentistPractitioner - Dentist 9931435781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051581NYMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Speranza Dental Implants PLLC Prosthodontics Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1083875975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 46TH CT W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342106602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 COOPER CREEK BLVD UNIT 115",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012028",
            "telephone_number": "212-319-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPETANAKOS",
        "first_name": "MELANI",
        "middle_name": "HELENE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "051581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, FL

Sources for this page

Verify at the official NPI Registry.