Active NPI
Juan J Capello, M.D.
- Independent Medical Examiner Physician
- Southlake, TX
National Provider Identifier
1447461991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Physician
- License
- D4061
- Practice address
- 807 Cross LN
Southlake, TX 76092-6367 - Phone
- (817) 251-6837
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Independent Medical Examiner Physician | 202C00000X | D4061 | TX | Primary |
Addresses
Primary practice location
807 Cross LN
Southlake, TX 76092-6367
Mailing address
PO Box 349
Bedford, TX 76095-0349
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4061 | TX | MD | Independent Medical Examiner Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447461991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 349",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760950349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 CROSS LN",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926367",
"telephone_number": "817-251-6837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPELLO",
"first_name": "JUAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "202C00000X",
"taxonomy_group": "",
"desc": "Independent Medical Examiner",
"state": "TX",
"license": "D4061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.