Capati Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CAPATI DENTAL, LLC

Practice address

1027 S 2ND St
Springfield, IL 62704-3004

Phone

(217) 522-4451

Fax

(217) 522-3980

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shay L Crawford, CDPMA

Title

Office Manager

Phone

(217) 522-4451

Specialties & licenses 1

Addresses

Other names 1

• Capital Three, LLC Former legal business name

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1720138977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S 2ND ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043004",
            "telephone_number": "217-522-4451",
            "fax_number": "217-522-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 S 2ND ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043004",
            "telephone_number": "217-522-4451",
            "fax_number": "217-522-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPATI DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "SHAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "217-522-4451",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDPMA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Three, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Elizabeth Canas-Stanks, RBT
• Donna C Canavan, OTR/L
• Angela Dagnino Canedo, RBT
• Craig Canter, DMD
• Stacey Cantrell, LPC
• Albert P Capati, D.M.D
• Mikeal A Capati, APRN
• Piero Capecci, M.D.
• Capitol Care Center, LLC
• Capitol Chiromed, LTD.

• Dental Clinic/Center in Springfield, IL
• Providers in Springfield, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.