Individual provider Active NPI

Robert Anthony Capozza, DMD

  • General Practice Dentistry
  • Loveland, OH
National Provider Identifier
1689968190
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.023657 Issued in OH
Practice address
3249 US Highway 22 and 3
Loveland, OH 45140-1004
Phone
(513) 683-3838
NPI assigned
Jun 1, 2011
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 19323 FL
General Practice Dentistry 1223G0001X 30.023657 OH Primary

Addresses

Primary practice location

3249 US Highway 22 and 3
Loveland, OH 45140-1004

Mailing address

2360 SW Archer Rd Apt 604
Gainesville, FL 32608-1016
Phone (352) 238-4402

Other practice location 1

2360 SW Archer Rd Apt 604
Gainesville, FL 32608-1016
Phone (352) 238-4402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150324001194 OH Order and Referring Only - DentistPractitioner - Dentist 4880911288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 19323FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John P.Gates DDS Inc. General Practice PastSince Sep 8, 2019 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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1689968190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 SW ARCHER RD APT 604",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081016",
            "telephone_number": "352-238-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 US HIGHWAY 22 AND 3",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451401004",
            "telephone_number": "513-683-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2360 SW Archer Rd Apt 604",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326081016",
            "country_code": "US",
            "telephone_number": "352-238-4402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPOZZA",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 19323",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

Verify at the official NPI Registry.