Individual provider Active NPI

Harold R. Capps, M.D.

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1730242801
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E0845 Issued in TX
Practice address
Texas Tech University Student Health Clinic
Flint and Main, Texas Tech University Campus
Lubbock, TX 79430-0001
Phone
(806) 743-2860
Fax
(806) 743-2122
NPI assigned
Dec 19, 2006
Reactivated
Sep 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E0845 TX Primary

Addresses

Primary practice location

Texas Tech University Student Health Clinic
Flint and Main, Texas Tech University Campus
Lubbock, TX 79430-0001

Mailing address

Texas Tech University Student Health Clinic
3601 4TH Street-Ms 7208
Lubbock, TX 79430-0001
Phone (806) 743-2860

Other identifiers 1

IdentifierTypeStateIssuer
P000AD517MedicaidTX

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E0845TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1730242801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TEXAS TECH UNIVERSITY STUDENT HEALTH CLINIC",
            "address_2": "3601 4TH STREET-MS 7208",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300001",
            "telephone_number": "806-743-2860",
            "fax_number": "806-743-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEXAS TECH UNIVERSITY STUDENT HEALTH CLINIC",
            "address_2": "FLINT AND MAIN, TEXAS TECH UNIVERSITY CAMPUS",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300001",
            "telephone_number": "806-743-2860",
            "fax_number": "806-743-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPS",
        "first_name": "HAROLD",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "deactivation_date": "2019-09-25",
        "reactivation_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E0845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000AD517",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.