Active NPI
Abhishek Kapoor, D.D.S.
- Dentist
- Woonsocket, RI
National Provider Identifier
1184852147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN 03256
- Practice address
- 191, Social Street,
Woonsocket, RI 02895-3207 - Phone
- (401) 767-4100
- NPI assigned
- Jun 29, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN 03256 | RI | Primary |
Addresses
Primary practice location
191, Social Street,
Woonsocket, RI 02895-3207
Mailing address
55 Clear Pond Dr
Unit #22-3,
Walpole, MA 02081-4342
Phone (732) 996-7964
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151016000268 | MA | Order and Referring Only - Dentist | 5890004733 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN 03256 | RI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1184852147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CLEAR POND DR",
"address_2": "UNIT #22-3,",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020814342",
"telephone_number": "732-996-7964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191, SOCIAL STREET,",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953207",
"telephone_number": "401-767-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPOOR",
"first_name": "ABHISHEK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "DEN 03256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.