Individual provider Active NPI

Kevin Douglas Cappelen, DDS

  • Dentist
  • Naples, FL
National Provider Identifier
1487744439
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17041 Issued in FL
Practice address
4822 Davis Blvd
Naples, FL 34104-5306
Phone
(239) 775-3383
Fax
(239) 775-5814
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN17041 FL Primary

Addresses

Primary practice location

4822 Davis Blvd
Naples, FL 34104-5306

Mailing address

938 Tivoli CT
Naples, FL 34104-0834
Phone (239) 330-5814

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

State licenses

LicenseStateTypeSpecialty
DN17041FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Lake Dental Services, PA PastSince Nov 24, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1487744439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 TIVOLI CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341040834",
            "telephone_number": "239-330-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 DAVIS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045306",
            "telephone_number": "239-775-3383",
            "fax_number": "239-775-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPELEN",
        "first_name": "KEVIN",
        "middle_name": "DOUGLAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.