Colt Harrison Canepa, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24119 Issued in FL

Practice address

710 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4752

Phone

(772) 334-4090

Fax

(772) 334-4837

NPI assigned

Jun 7, 2019

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 FL

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

State licenses

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

• Colt Canepa DMD LLC

  dba Canepa Dentistry

  • General Practice Dentistry
  • Jensen Beach, FL
  • NPI 1598533762
  Authorized official Same address or phone

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1801455456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 SE DEER MOSS TRL",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334698130",
            "telephone_number": "772-418-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574752",
            "telephone_number": "772-334-4090",
            "fax_number": "772-334-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANEPA",
        "first_name": "COLT",
        "middle_name": "HARRISON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lauren Burgess, M.D.
• Yvette Claire Bushey, D.O.
• Alston Bryan Calderon, PA
• Caleb Youngblood P.T. Inc
• Kristina Marie Camp
• Theresa Ann Caputo-Buxton, RCSWI
• Eleanor E Caracci, MASSAGE THERAPIST
• Caretegic Health, Inc
• Jason PW Carlson, PHARM D
• Elizabeth Case

• General Practice Dentistry in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.