Active NPI
Jason a. Caputo, D.D.S., P.a.
Doing business as Mocksville Family Dentistry
- Dentist
- Mocksville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7834
- Legal business name
- JASON A. CAPUTO, D.D.S., P.A.
- Doing business as
- Mocksville Family Dentistry
- Practice address
- 113 Market Place Dr
Mocksville, NC 27028-2084 - Phone
- (336) 753-6630
- Fax
- (336) 753-6632
- NPI assigned
- Jun 6, 2016
- Last updated
- Jun 6, 2016
- 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. Jason A. Caputo, DDS
- Title
- Owner
- Phone
- (336) 753-6630
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7834 | NC | Primary |
Addresses
Primary practice location
113 Market Place Dr
Mocksville, NC 27028-2084
Mailing address
113 Market Place Dr
Mocksville, NC 27028-2084
Phone (336) 753-6630
Other names 1
- Mocksville Family Dentistry
National Provider Directory
National Provider DirectoryPractitioners & 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
- Mocksville, NC
- NPI 1477637114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465171200000",
"number": "1437508991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 MARKET PLACE DR",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282084",
"telephone_number": "336-753-6630",
"fax_number": "336-753-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 MARKET PLACE DR",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282084",
"telephone_number": "336-753-6630",
"fax_number": "336-753-6632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON A. CAPUTO, D.D.S., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-06",
"last_updated": "2016-06-06",
"status": "A",
"authorized_official_last_name": "CAPUTO",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-753-6630",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "7834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mocksville Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mocksville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.