Richard E Capozzi Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6939 Issued in CT

Practice address

1192 Main St
Watertown, CT 06795-3131

Phone

(860) 274-9211

Fax

(860) 274-3183

NPI assigned

Jan 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Richard Capozzi Jr. D.D.S.

  • General Practice Dentistry
  • Watertown, CT
  • NPI 1902957798

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1891065884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 MAIN ST",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953131",
            "telephone_number": "860-274-9211",
            "fax_number": "860-274-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 MAIN ST",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953131",
            "telephone_number": "860-274-9211",
            "fax_number": "860-274-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOZZI",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "6939",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michele Breton, PTA, LAC
• Belinda Bridges, LCSW
• Samantha Brodeur
• Ashlyn Burbano
• Christina Calzadilla, BCBA-LBA
• Cappella Counseling, LLC.
• Carol M Carangelo
• Ariana M Cardozo, LCSW
• Sallie Ann Carrington, DO
• CCM Psychotherapy, LLC

• All providers in Watertown, CT
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.