Active NPI
Clifford Nicandro Capria Jr.
- Speech-Language Assistant
- Chandler, AZ
National Provider Identifier
1134521701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA9116
- Practice address
- 5607 W Avalon CT
Chandler, AZ 85226-2742 - Phone
- (480) 628-4218
- NPI assigned
- Sep 25, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SLPA9116 | AZ | Primary |
Addresses
Primary practice location
5607 W Avalon CT
Chandler, AZ 85226-2742
Mailing address
5607 W Avalon CT
Chandler, AZ 85226
Phone (480) 628-4218
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 |
|---|---|---|---|
| SLPA9116 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417305600000",
"number": "1134521701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5607 W AVALON CT",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85226",
"telephone_number": "480-628-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5607 W AVALON CT",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262742",
"telephone_number": "480-628-4218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPRIA",
"first_name": "CLIFFORD",
"middle_name": "NICANDRO",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-25",
"last_updated": "2014-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA9116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.