Active NPI
A Cappella Dental, PC
- General Practice Dentistry
- Traverse City, MI
National Provider Identifier
1336543990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901016153
- Legal business name
- A CAPPELLA DENTAL, PC
- Practice address
- 1061 E Front St
Traverse City, MI 49686-2707 - Phone
- (231) 943-2900
- NPI assigned
- Oct 10, 2014
- Last updated
- Mar 18, 2015
- 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. Thomas C. Salon, D.D.S.
- Title
- Owner/Ceo/Dentist
- Phone
- (231) 943-2900
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 | 2901016153 | MI | Primary |
Addresses
Primary practice location
1061 E Front St
Traverse City, MI 49686-2707
Mailing address
1061 E Front St
Traverse City, MI 49686-2707
Phone (231) 943-2900
National Provider Directory
National Provider DirectoryLocations
1061 E Front St
Traverse City, MI 49686
Phone (231) 943-2900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Traverse City, MI
- NPI 1902925506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426636800000",
"number": "1336543990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 E FRONT ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496862707",
"telephone_number": "231-943-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 E FRONT ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496862707",
"telephone_number": "231-943-2900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A CAPPELLA DENTAL, PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-10",
"last_updated": "2015-03-18",
"status": "A",
"authorized_official_last_name": "SALON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER/CEO/DENTIST",
"authorized_official_telephone_number": "231-943-2900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901016153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.