Tim Kappenman, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

M694 Issued in SD

Practice address

208 W 37TH St
Sioux Falls, SD 57105-5704

Phone

(605) 332-6377

Fax

(605) 332-9560

NPI assigned

Jul 10, 2006

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 17, 2016 through Mar 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anlee M. Rola, DDS

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1831441922
  NPD (past)
• Dakota Dental

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1154729457
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861426546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W 37TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055704",
            "telephone_number": "605-332-6377",
            "fax_number": "605-332-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 37TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055704",
            "telephone_number": "605-332-6377",
            "fax_number": "605-332-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPENMAN",
        "first_name": "TIM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay James Kappenman, D.D.S.
• Lawrence J Kappenman, CRNA
• Samantha Kappenman
• Spencer Kappenman
• Tami J Kappenman IX, D.D.S.
• Kapperman Counseling, LLC
• Crystal Leigh Kapperman, LPC, LPC-MH
• David Kapperman, MD
• Jerome R. Kappes, PHARM.D.
• Nina Kappes, RDLN

• Dentist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.