Peter A Capodilupo Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

JR20327 Issued in MA

Practice address

563 Broadway
Suite 21
Everett, MA 02149

Phone

(617) 389-4646

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

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 MA

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

Practice roles

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.

• Areeva Dental LLC

  • Dental Clinic/Center
  • Everett, MA
  • NPI 1003651753
  NPD (past)
• Dr Peter a Capodlilupo DDS P.C.

  • General Practice Dentistry
  • Everett, MA
  • NPI 1609061886
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215072574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 BROADWAY",
            "address_2": "SUITE 21",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "02149",
            "telephone_number": "617-389-4646",
            "fax_number": "617-389-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 BROADWAY",
            "address_2": "SUITE 21",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "02149",
            "telephone_number": "617-389-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPODILUPO",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "JR20327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cambridge Health Alliance
• Cambridge Health Alliance
• Cambridge Public Health Commission
• Cambridge Public Health Commission
• Lori S Campisano, RN
• Peter A Capodilupo Sr., DDS
• Sarah Carbone, LICSW
• John Carpinito, PT
• Melissa Cartagena, RN
• Juliane Danielle Carvalho Dos Santos

• General Practice Dentistry in Everett, MA
• Providers in Everett, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.