David Michael Cappuccio, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

057325 Issued in NY

Practice address

623 Main St
Olean, NY 14760-1532

Phone

(716) 375-7300

Fax

(716) 375-7311

NPI assigned

Jul 9, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Seneca Ridge Dental

  • Dental Clinic/Center
  • West Seneca, NY
  • NPI 1003391855
  NPD Authorized official

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1780025544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601513",
            "telephone_number": "716-375-7300",
            "fax_number": "716-375-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601532",
            "telephone_number": "716-375-7300",
            "fax_number": "716-375-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPUCCIO",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caboces
• Arthur Cacacho, M.D.
• Elizabeth A Callen-Pratt, LMHC
• Celene Renee Cannon-Tinder
• Teresa V Capitani, R.PH.
• Brian Carey
• Gary Hudson Carl, MD
• Amber Carlson
• Stephen Douglas Carlson, M.D.
• Kayla Lynn Carr, P.A.-C

• Dentist in Olean, NY
• Providers in Olean, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.