Jay James Kappenman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M693 Issued in SD

Practice address

5704 W 41St St
Sioux Falls, SD 57106-1011

Phone

(605) 361-9288

NPI assigned

Sep 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Practice roles

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.

• Kappenman Dental Clinic LTD

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1669607719
  NPD (past) Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437255940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 E CENTENNIAL LN",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571105614",
            "telephone_number": "605-371-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 W 41ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061011",
            "telephone_number": "605-361-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPENMAN",
        "first_name": "JAY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Kapitan
• Claudia J Kapp, CNP
• Mandy Kappel
• Kappenman Dental Clinic LTD
• Amanda Lee Kappenman, M.D.
• Lawrence J Kappenman, CRNA
• Samantha Kappenman
• Spencer Kappenman
• Tami J Kappenman IX, D.D.S.
• Tim Kappenman, D.D.S.

• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.