Robert Jerry Capener, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

324711-9922 Issued in UT

Practice address

1690 N Washington Blvd Ste 1
Ogden, UT 84404-3348

Phone

(180) 173-7577

Fax

(801) 782-4674

NPI assigned

May 12, 2008

Last updated

May 12, 2008By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1891962536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 N WASHINGTON BLVD STE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844043348",
            "telephone_number": "180-173-7577",
            "fax_number": "801-782-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 N WASHINGTON BLVD STE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844043348",
            "telephone_number": "180-173-7577",
            "fax_number": "801-782-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPENER",
        "first_name": "ROBERT",
        "middle_name": "JERRY",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "324711-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Ogden, UT
• Providers in Ogden, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.