Individual provider Active NPI

Domenic M Caprice, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Vineland, NJ
National Provider Identifier
1225069578
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI01817400 Issued in NJ
Practice address
701 Yale Ter
Vineland, NJ 08360-5818
Phone
(856) 692-8300
Fax
(856) 692-9229
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI01817400 NJ Primary

Addresses

Primary practice location

701 Yale Ter
Vineland, NJ 08360-5818

Mailing address

701 Yale Ter
Vineland, NJ 08360-5818
Phone (856) 692-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000547 NJ Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 2062565575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Georgetown University School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Vineland Oral Surgeons PAGroup PAC ID 4082767595, 3 clinicians

Practice addresses (Care Compare)

1318 S Main Rd
Suite 4B
Vineland, NJ 08360-6516
Phone (856) 692-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vineland Oral Surgeons PA Oral and Maxillofacial Surgery CurrentSince Oct 1, 1994 Accepting new patients

Locations

1117 Highway 77
Ste D
Bridgeton, NJ 08302
Phone (856) 451-2424

1318 S Main Rd
Ste 4B
Vineland, NJ 08360
Phone (856) 692-8300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225069578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 YALE TER",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605818",
            "telephone_number": "856-692-8300",
            "fax_number": "856-692-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 YALE TER",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605818",
            "telephone_number": "856-692-8300",
            "fax_number": "856-692-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRICE",
        "first_name": "DOMENIC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI01817400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.