Kim L. Capehart, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3842 Issued in SC

Legal business name

KIM L. CAPEHART, D.D.S., P.A.

Practice address

621 SE Main St
Simpsonville, SC 29681-3234

Phone

(864) 963-7237

Fax

(864) 967-2375

NPI assigned

Jul 31, 2006

Last updated

Nov 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kim L Capehart, D.D.S.

Title

C.E.O./President

Phone

(864) 963-7237

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1184630527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80035",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296800001",
            "telephone_number": "864-963-7237",
            "fax_number": "864-967-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SE MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813234",
            "telephone_number": "864-963-7237",
            "fax_number": "864-967-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM L. CAPEHART, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "CAPEHART",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "C.E.O./PRESIDENT",
        "authorized_official_telephone_number": "864-963-7237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.