Individual provider Active NPI

Kisty Anwar Caples, DDS

  • Dentist
  • Columbus, GA
National Provider Identifier
1841453792
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014764 Issued in GA
Practice address
2018 Auburn Ave
Columbus, GA 31906-1708
Phone
(706) 568-6501
Fax
(706) 568-6544
NPI assigned
Jul 9, 2008
Last updated
Aug 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014764 GA Primary
Dentist 122300000X 5954 LA

Addresses

Primary practice location

2018 Auburn Ave
Columbus, GA 31906-1708

Mailing address

2018 Auburn Ave
Columbus, GA 31906-1708
Phone (706) 568-6501

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

State licenses

LicenseStateTypeSpecialty
DN014764GAMDDentist
5954LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Dentures-Columbus II,P.C. Dentist Past Accepting new patients
Affordable Dentures - Columbus LL. P.C. Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1841453792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 AUBURN AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319061708",
            "telephone_number": "706-568-6501",
            "fax_number": "706-568-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 AUBURN AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319061708",
            "telephone_number": "706-568-6501",
            "fax_number": "706-568-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPLES",
        "first_name": "KISTY",
        "middle_name": "ANWAR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014764",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.