Active NPI
Andrew J Kapust, D.D.S.
- Pediatric Dentistry
- Tumwater, WA
National Provider Identifier
1104806918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6738
- Practice address
- 344 Cleveland Ave SE
Tumwater, WA 98501-3342 - Phone
- (360) 943-6600
- Fax
- (360) 754-0898
- NPI assigned
- Jan 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 6738 | WA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6738 | WA |
Addresses
Primary practice location
344 Cleveland Ave SE
Tumwater, WA 98501-3342
Mailing address
344 Cleveland Ave SE
Tumwater, WA 98501-3342
Phone (360) 943-6600
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 |
|---|---|---|---|
| 6738 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew J Kapust DDS PS | Orthodontics and Dentofacial Orthopedics | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tumwater, WA
- NPI 1063203727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104806918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 CLEVELAND AVE SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985013342",
"telephone_number": "360-943-6600",
"fax_number": "360-754-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 CLEVELAND AVE SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985013342",
"telephone_number": "360-943-6600",
"fax_number": "360-754-0898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPUST",
"first_name": "ANDREW",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "6738",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "6738",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.