Active NPI
Andrea Kapsou, D.M.D.
- Dentist
- Tyngsboro, MA
National Provider Identifier
1295983773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22294
- Practice address
- 15 Pondview PL
Tyngsboro, MA 01879-1068 - Phone
- (978) 649-7773
- NPI assigned
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22294 | MA | Primary |
Addresses
Primary practice location
15 Pondview PL
Tyngsboro, MA 01879-1068
Mailing address
30 Caldwell St
Apt 107
Charlestown, MA 02129-1213
Phone (267) 239-7373
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 |
|---|---|---|---|
| 22294 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James G. Yankowskas DDS PC | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Tyngsboro, MA
- NPI 1487637799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1295983773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CALDWELL ST",
"address_2": "APT 107",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021291213",
"telephone_number": "267-239-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PONDVIEW PL",
"city": "TYNGSBORO",
"state": "MA",
"postal_code": "018791068",
"telephone_number": "978-649-7773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPSOU",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "22294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyngsboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.