Individual provider Active NPI

Madison Johnson Bissette Capel, DDS

  • General Practice Dentistry
  • Havelock, NC
National Provider Identifier
1699266544
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10988 Issued in NC
Practice address
92 Stonebridge TRL
Havelock, NC 28532-9553
Phone
(252) 447-3100
NPI assigned
May 27, 2018
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10988 NC Primary

Addresses

Primary practice location

92 Stonebridge TRL
Havelock, NC 28532-9553

Mailing address

92 Stonebridge TRL
Havelock, NC 28532-9553
Phone (252) 447-3100

Other identifiers 1

IdentifierTypeStateIssuer
10988OtherNCNC DENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10988NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William S. Harvey, III, DDS, PLLC 7 CurrentSince Jan 19, 2025 Accepting new patients
Gerald L. Coates, Jr., DMD, PA General Practice PastSince Jan 19, 2025 Accepting new patients

Locations

92 Stonebridge Trl
Havelock, NC 28532
Phone (252) 447-3100

Organizations & group practices 2

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": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1699266544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 STONEBRIDGE TRL",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285329553",
            "telephone_number": "252-447-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 STONEBRIDGE TRL",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285329553",
            "telephone_number": "252-447-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPEL",
        "first_name": "MADISON",
        "middle_name": "JOHNSON BISSETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DENTAL LICENSE",
            "identifier": "10988",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havelock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.