Individual provider Active NPI

Laura Richards Capati, D.M.D., MS

  • Periodontics
  • Festus, MO
National Provider Identifier
1578870481
Registry record updated Jul 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2009021095 Issued in MO
Practice address
1431 US Highway 61
Festus, MO 63028-4109
Phone
(636) 232-9869
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2009021095 MO
Periodontics 1223P0300X 2009021095 MO Primary
Dentist 122300000X 019027682 IL

Addresses

Primary practice location

1431 US Highway 61
Festus, MO 63028-4109

Mailing address

1431 US Highway 61
Festus, MO 63028-4109
Phone (636) 232-9869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20210126002892 MO Order and Referring Only - DentistPractitioner - Dentist 7618381021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019027682ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373673600000",
    "number": "1578870481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 US HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284109",
            "telephone_number": "636-232-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 US HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284109",
            "telephone_number": "636-232-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPATI",
        "first_name": "LAURA",
        "middle_name": "RICHARDS",
        "name_prefix": "Dr.",
        "credential": "D.M.D., MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2013-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2009021095",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2009021095",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.