Active NPI
William Alan Caputo, DMD
- General Practice Dentistry
- Fond Du Lac, WI
National Provider Identifier
1366933442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1001876
- Practice address
- 545 E Johnson St
Fond Du Lac, WI 54935-2856 - Phone
- (920) 924-9090
- NPI assigned
- May 23, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1001876 | WI | Primary |
Addresses
Primary practice location
545 E Johnson St
Fond Du Lac, WI 54935-2856
Mailing address
2627 N Drury LN
Arlington Heights, IL 60004-2274
Phone (224) 595-0942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240904001719 | WI | Practitioner - Dentist | 2264780899 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Assosiates | Past | Accepting new patients | |
| Better Sleep Solutions, Inc | Past | Accepting new patients | |
| Dental Associates LTD of Wisconsin | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dentist
- Pewaukee, WI
- NPI 1952707390
-
- Dental Clinic/Center
- Fond Du Lac, WI
- NPI 1558710269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1366933442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2627 N DRURY LN",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600042274",
"telephone_number": "224-595-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 E JOHNSON ST",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549352856",
"telephone_number": "920-924-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPUTO",
"first_name": "WILLIAM",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-23",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "1001876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.