Stephen Robert Jacapraro, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12506 Issued in MA

Practice address

1379 Main St
Agawam, MA 01001-2500

Phone

(413) 786-8177

Fax

(413) 789-1738

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1427065184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 MAIN ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012500",
            "telephone_number": "413-786-8177",
            "fax_number": "413-789-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 MAIN ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012500",
            "telephone_number": "413-786-8177",
            "fax_number": "413-789-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACAPRARO",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "12506",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria J Home-Gomez, D.M.D
• Harmony Hopkins, NP
• Bridget Mary Hughes, OTR/L
• Individual and Family Counseling Center, LLC
• Internal Medicine PC
• Zoe Jacobson, PA-C
• Timothy Jacques, ATC
• Heaney Nicole Jakobowski
• Michael J Jawitz, M.D.
• Joanne Craig, New Growth ABA

• General Practice Dentistry in Agawam, MA
• Providers in Agawam, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.

Verify at the official NPI Registry.