Organization Active NPI

Capital Dental Care PLLC

  • General Practice Dentistry
  • Albany, NY
National Provider Identifier
1639488869
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046831 Issued in NY
Legal business name
CAPITAL DENTAL CARE PLLC
Practice address
165 Manning Blvd
Albany, NY 12203-1756
Phone
(518) 459-2444
Fax
(518) 459-2445
NPI assigned
Oct 5, 2010
Last updated
Oct 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Dr. Omar Alwakfi, DMD
Title
Owner
Phone
(518) 459-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 046831 NY Primary

Addresses

Primary practice location

165 Manning Blvd
Albany, NY 12203-1756

Mailing address

165 Manning Blvd
Albany, NY 12203-1756
Phone (518) 459-2444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1639488869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031756",
            "telephone_number": "518-459-2444",
            "fax_number": "518-459-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031756",
            "telephone_number": "518-459-2444",
            "fax_number": "518-459-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "ALWAKFI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-459-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.