Thomas Henry Kapczynski, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007619 Issued in IN

Practice address

5915 W State Road 46
Bloomington, IN 47404-9359

Phone

(812) 876-7330

NPI assigned

Nov 12, 2006

Last updated

Feb 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1144391210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "ELLETTSVILLE",
            "state": "IN",
            "postal_code": "474290010",
            "telephone_number": "812-876-7350",
            "fax_number": "812-876-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 W STATE ROAD 46",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049359",
            "telephone_number": "812-876-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPCZYNSKI",
        "first_name": "THOMAS",
        "middle_name": "HENRY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Kalotta, NP-C
• CHI-Wei Kan, LMHC
• Emad Kandah, MD
• Michael William Kane, MD
• Karthik Kannegolla, MD
• Shelby Kapellusch, RBT
• Kara Baertsch Counseling, LLC
• Laura A. Karcher, M.A., CCC-SLP
• Kare Clinic
• Rachel Wright Karem, PHD, CCC-SLP

• General Practice Dentistry in Bloomington, IN
• Providers in Bloomington, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.