Organization Active NPI

Alexis Holdings LLC

  • Dentist
  • Springfield, IL
National Provider Identifier
1710363247
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALEXIS HOLDINGS LLC
Practice address
2061 Timberbrook Dr
Springfield, IL 62702-4626
Phone
(217) 622-5929
NPI assigned
Aug 6, 2015
Last updated
Dec 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Albert Capati, DMD
Title
Owner
Phone
(217) 717-8278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2061 Timberbrook Dr
Springfield, IL 62702-4626

Mailing address

2061 Timberbrook Dr
Springfield, IL 62702-4626
Phone (217) 717-8278

National Provider Directory

National Provider Directory

Locations

2061 Timberbrook Dr
Springfield, IL 62702
Phone (217) 546-2000

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1710363247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 TIMBERBROOK DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024626",
            "telephone_number": "217-717-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 TIMBERBROOK DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024626",
            "telephone_number": "217-622-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "CAPATI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-717-8278",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.