Christopher James Capua, DMD MS
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Monument, CO
NPI 1699115204 · NPPES record last updated Aug 13, 2018
Key facts
- NPI
- 1699115204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 203418 (CO)
- Practice address
- 556 West Highway 105
Monument, CO 80132 - Phone
- (719) 298-4990
- Fax
- (719) 298-4992
- NPI assigned
- Jun 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203418 | CO | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Dental Oral Surgery Colorado Springs LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | 203418 | CO | Yes |
Addresses
Primary practice location
556 West Highway 105
Monument, CO 80132
Mailing address
556 West Highway 105
Monument, CO 80132
Phone (719) 298-4990
Other practice location 1
1611 NW 12th Ave
Miami, FL 33136-1005
Phone (801) 836-7044
Other providers in Monument, CO
- Kolby Burwell
- By the Healing Well, PLLC
- Jennifer Cain
- Aichel Campos Suarez
- Candace Bolz Therapy LLC
- Paul Nolan Cardon
- Larissa T Carroll
- Laura Dobbs Carson
- Sharae' Marie Pascoe Carter
- Catholic Health Initiatives Colorado
All providers in Monument, CO · Oral and Maxillofacial Surgery (Dentist) in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.