Dr Peter a Capodlilupo DDS P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR PETER A CAPODLILUPO DDS P.C.

Practice address

563 Broadway Ste 21
Everett, MA 02149-3749

Phone

(617) 389-4646

Fax

(617) 389-4657

NPI assigned

Sep 11, 2007

Last updated

Sep 11, 2007By 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

Dr. Peter A Capodilupo Sr., DDSNPI 1609901651

Title

Owner

Phone

(617) 389-4646

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Peter A Capodilupo Sr., DDS

  • General Practice Dentistry
  • Everett, MA
  • NPI 1609901651
  NPD (past) Authorized official
• Peter A Capodilupo Jr., DMD

  • General Practice Dentistry
  • Everett, MA
  • NPI 1215072574
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1609061886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 BROADWAY STE 21",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493749",
            "telephone_number": "617-389-4646",
            "fax_number": "617-389-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 BROADWAY STE 21",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493749",
            "telephone_number": "617-389-4646",
            "fax_number": "617-389-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PETER A CAPODLILUPO DDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "CAPODILUPO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-389-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Dong
• Tracy Jean Donnelly
• Matthew James Donovan
• Nayara Fernanda Dos Reis Tavares Ortet
• John Petros Douzepis, PT
• Dr. Veenu Gill and Associates P.C.
• Wayne Crawford Draper, M.D.
• Tuly Van Prehn Duprat, CD(DONA)
• Ian Dwyer
• Elizabeth R Eberhardt, LCSW

• General Practice Dentistry in Everett, MA
• Providers in Everett, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.