Active NPI
Zachary Alexander Kapotes, D.M.D.
- General Practice Dentistry
- Kingston, NY
National Provider Identifier
1215389093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 061115
- Practice address
- 138 Pine St
Kingston, NY 12401-4947 - Phone
- (845) 338-6900
- NPI assigned
- Jul 6, 2016
- Last updated
- Aug 2, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02799500 | NJ | MD | General Practice Dentistry |
| DS040911 | PA | MD | General 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.