Colt Canepa DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COLT CANEPA DMD LLC

Doing business as

Canepa Dentistry
Colt Canepa DMD LLC

Practice address

710 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4752

Phone

(772) 334-4090

Fax

(772) 334-4837

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colt Canepa, DMDNPI 1801455456

Title

Owner, Dentist

Phone

(772) 418-7864

Specialties & licenses 1

Addresses

Other names 2

• Canepa Dentistry Doing business as
• Colt Canepa DMD LLC Doing business as

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.

• Colt Harrison Canepa, DMD

  • General Practice Dentistry
  • Jensen Beach, FL
  • NPI 1801455456
  Authorized official Same address or phone

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1598533762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 SE DEER MOSS TRL",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334698130",
            "telephone_number": "772-418-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574752",
            "telephone_number": "772-334-4090",
            "fax_number": "772-334-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLT CANEPA DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-16",
        "status": "A",
        "authorized_official_last_name": "CANEPA",
        "authorized_official_first_name": "COLT",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "772-418-7864",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canepa Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colt Canepa DMD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cohen Fashion Optical, LLC (Cohen's Fashion Optical)
• Jane Cohn, PHYSICIAN ASSISTANT
• Evan Collins, MD
• Antonella Colman, LCSW
• Cindy L Cologiovanni, PT
• Margaret Ann Combs, L.M.T
• Comfortable Care Dental Health Professionals, P.a. (Downtown Dental Care of Jensen Beach)
• Anton Frenkels Compas, M.A
• Alison L Conroy, RPH
• Robert Contreras, PTA

• General Practice Dentistry in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.