Active NPI
Lisa Kapnick, FDN, RDH
- Dental Hygienist
- Scarsdale, NY
National Provider Identifier
1710643192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 017036-1
- Practice address
- 19 Clubhouse LN
Scarsdale, NY 10583-3147 - Phone
- (914) 403-0393
- Fax
- (914) 478-1142
- NPI assigned
- Nov 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 017036-1 | NY | Primary |
Addresses
Primary practice location
19 Clubhouse LN
Scarsdale, NY 10583-3147
Mailing address
19 Clubhouse LN
Scarsdale, NY 10583-3147
Phone (914) 403-0393
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
| License | State | Type | Specialty |
|---|---|---|---|
| 017036-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1710643192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CLUBHOUSE LN",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105833147",
"telephone_number": "914-403-0393",
"fax_number": "914-478-1142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 CLUBHOUSE LN",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105833147",
"telephone_number": "914-403-0393",
"fax_number": "914-478-1142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPNICK",
"first_name": "LISA",
"credential": "FDN, RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-10",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "017036-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.