Individual provider Active NPI

Elleni Kaur Kapoor, DDS

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1841489291
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413954 Issued in VA
Practice address
1544 Laskin Rd Ste 226
Virginia Beach, VA 23451-7502
Phone
(757) 965-3333
Fax
(757) 965-3335
NPI assigned
Oct 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23390 TX
General Practice Dentistry 1223G0001X 0401413954 VA Primary

Addresses

Primary practice location

1544 Laskin Rd Ste 226
Virginia Beach, VA 23451-7502

Mailing address

1544 Laskin Rd Ste 226
Virginia Beach, VA 23451-7502
Phone (757) 965-3333

Other practice location 1

1544 Laskin Rd Ste 226
Virginia Beach, VA 23451-7502
Phone (757) 965-3333

Other identifiers 1

IdentifierTypeStateIssuer
1841489291MedicaidVA

Other names 1

  • Dr. Elleni Kaur Kapoor Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20170314000180 VA Order and Referring Only - DentistPractitioner - Dentist 1850676867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23390TXMDGeneral Practice Dentistry
0401413954VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841489291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 LASKIN RD STE 226",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234517502",
            "telephone_number": "757-965-3333",
            "fax_number": "757-965-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 LASKIN RD STE 226",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234517502",
            "telephone_number": "757-965-3333",
            "fax_number": "757-965-3335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1544 Laskin Rd Ste 226",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234517502",
            "country_code": "US",
            "telephone_number": "757-965-3333",
            "fax_number": "757-965-3335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "ELLENI",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23390",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841489291",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLENI",
            "last_name": "KAPOOR",
            "middle_name": "KAUR",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.