Active NPI
William Capobianco, D.D.S., Inc
- General Practice Dentistry
- San Clemente, CA
National Provider Identifier
1265613392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39241
- Legal business name
- WILLIAM CAPOBIANCO, D.D.S., INC
- Practice address
- 665 Camino de Los Mares
Suite 303
San Clemente, CA 92673-2835 - Phone
- (949) 443-2404
- Fax
- (949) 443-2324
- NPI assigned
- Nov 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Capobianco, DDS
- Title
- Ceo
- Phone
- (949) 443-2404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39241 | CA | Primary |
Addresses
Primary practice location
665 Camino de Los Mares
Suite 303
San Clemente, CA 92673-2835
Mailing address
665 Camino de Los Mares
Suite 303
San Clemente, CA 92673
Phone (949) 443-2404
Other names 1
- SAN CLEMENTE ADVANCED DENTAL CARE
National Provider Directory
National Provider DirectoryLocations
665 Camino de los Mares
Ste 303
San Clemente, CA 92673
Phone (949) 443-2404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- San Clemente, CA
- NPI 1659562452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660262400000",
"number": "1265613392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 CAMINO DE LOS MARES",
"address_2": "SUITE 303",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "92673",
"telephone_number": "949-443-2404",
"fax_number": "949-443-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 CAMINO DE LOS MARES",
"address_2": "SUITE 303",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732835",
"telephone_number": "949-443-2404",
"fax_number": "949-443-2324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM CAPOBIANCO, D.D.S., INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-16",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A",
"authorized_official_last_name": "CAPOBIANCO",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-443-2404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "39241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SAN CLEMENTE ADVANCED DENTAL CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.