Active NPI
Suchit Kapur, DMD
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1881248730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS104066
- Practice address
- 12750 Carmel Country Rd Ste 205
San Diego, CA 92130-2171 - Phone
- (858) 481-1148
- NPI assigned
- Jul 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS104066 | CA | Primary |
| Dentist | 122300000X | 104066 | CA |
Addresses
Primary practice location
12750 Carmel Country Rd Ste 205
San Diego, CA 92130-2171
Mailing address
8793 Lightwave Ave Apt C353
San Diego, CA 92123-5016
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104066 | CA | MD | Clinical Social Worker |
| DDS104066 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dream Sleep & Wellness Solutions | Dentist | Past | Accepting new patients |
| Robert K. Schaffer DDS Inc | Dentist | Past | Accepting new patients |
| Pacific Dental Services | Dentist | Past | Accepting new patients |
| Pacific Dental Services | Dentist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dentist
- Victorville, CA
- NPI 1861884140
-
- Dentist
- Victorville, CA
- NPI 1912305236
-
- Dentist
- San Diego, CA
- NPI 1306385034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1881248730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8793 LIGHTWAVE AVE APT C353",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921235016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12750 CARMEL COUNTRY RD STE 205",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302171",
"telephone_number": "858-481-1148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPUR",
"first_name": "SUCHIT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-30",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS104066",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104066",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.