Dipa Cappelen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60454 Issued in CA

Practice address

912 Grand Ave
Suite 201
San Rafael, CA 94901-3563

Phone

(415) 456-8735

NPI assigned

Sep 1, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dipa Cappelen, D.M.D., P.C.

  • Dental Clinic/Center
  • San Rafael, CA
  • NPI 1285014274
  NPD (past) Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1841392099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 GRAND AVE",
            "address_2": "SUITE 201",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 GRAND AVE",
            "address_2": "SUITE 201",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013563",
            "telephone_number": "415-456-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPELEN",
        "first_name": "DIPA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Alexander Cantu
• Anne-Maree Cantwell, MD
• Mark David Capitolo, MFT
• Tessamarie RW Capitolo, MFT
• Christopher Norman Cappelen, M.D.
• Jessica Ann Capretto, PA-C
• Denise Marie Caramagno, LMFT
• Edith Elizabeth Cardenas
• Silvia M Cardenas
• Jeffry D Cardneau, MD

• General Practice Dentistry in San Rafael, CA
• Providers in San Rafael, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.