Individual provider Active NPI

Yvonne L Kapila, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1346374840
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38425 Issued in CA
Practice address
10833 Le Conte Ave RM 53-039
Los Angeles, CA 90095-3308
Phone
(310) 825-5543
Fax
(310) 206-3282
NPI assigned
Mar 15, 2007
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018813 MI
Dentist 122300000X 38425 CA Primary
General Practice Dentistry 1223G0001X 2901018813 MI

Addresses

Primary practice location

10833 Le Conte Ave RM 53-039
Los Angeles, CA 90095-3308

Mailing address

10833 Le Conte Ave Box 951668, Mail 53-039
Los Angeles, CA 90095-1668
Phone (310) 825-5543

Other practice location 1

10833 Le Conte Ave Rm 53-039
Los Angeles, CA 90095-3308
Phone (310) 825-5543

Other practice location 2

406 N Ashley St
Ann Arbor, MI 48103-3308
Phone (734) 998-9640

Other identifiers 1

IdentifierTypeStateIssuer
D188130OtherMIBCBS OF MI DENTAL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
38425CAMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Mi Community Dental Center Dentist Past Accepting new patients
Regents of the University of Michigan Dental Faculty Associates Dentist PastSince Jul 1, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1346374840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE BOX 951668, MAIL 53-039",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951668",
            "telephone_number": "310-825-5543",
            "fax_number": "310-206-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE RM 53-039",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953308",
            "telephone_number": "310-825-5543",
            "fax_number": "310-206-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10833 Le Conte Ave Rm 53-039",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953308",
            "country_code": "US",
            "telephone_number": "310-825-5543",
            "fax_number": "310-206-3282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 N Ashley St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481033308",
            "country_code": "US",
            "telephone_number": "734-998-9640",
            "fax_number": "734-998-9647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPILA",
        "first_name": "YVONNE",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018813",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38425",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018813",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI DENTAL",
            "identifier": "D188130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.