Individual provider Active NPI

Zachary Alexander Kapotes, D.M.D.

  • General Practice Dentistry
  • Kingston, NY
National Provider Identifier
1215389093
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
061115 Issued in NY
Practice address
138 Pine St
Kingston, NY 12401-4947
Phone
(845) 338-6900
NPI assigned
Jul 6, 2016
Last updated
Aug 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02799500 NJ
General Practice Dentistry 1223G0001X DS040911 PA
General Practice Dentistry 1223G0001X 061115 NY Primary

Addresses

Primary practice location

138 Pine St
Kingston, NY 12401-4947

Mailing address

310 Gramercy PL
Glen Rock, NJ 07452-2226
Phone (201) 247-9267

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

LicenseStateTypeSpecialty
22DI02799500NJMDGeneral Practice Dentistry
DS040911PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1215389093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GRAMERCY PL",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522226",
            "telephone_number": "201-247-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 PINE ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014947",
            "telephone_number": "845-338-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOTES",
        "first_name": "ZACHARY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02799500",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040911",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.