Active NPI
Caparelli & Mellis DDS PLLC
- Dentist
- Wilmington, NC
National Provider Identifier
1922024702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7011
- Legal business name
- CAPARELLI & MELLIS DDS PLLC
- Practice address
- 910 S College Rd
Wilmington, NC 28403-4412 - Phone
- (910) 392-2920
- Fax
- (910) 392-2221
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly Ingle Caparelli, DDS
- Title
- President
- Phone
- (910) 392-2920
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6831 | NC | |
| Dentist | 122300000X | 7011 | NC | Primary |
Addresses
Primary practice location
910 S College Rd
Wilmington, NC 28403-4412
Mailing address
910 S College Rd
Wilmington, NC 28403-4412
Phone (910) 392-2920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89014 PC | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
5125 Oleander Dr
Wilmington, NC 28403
Phone (910) 392-2920
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Wilmington, NC
- NPI 1689753626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922024702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034412",
"telephone_number": "910-392-2920",
"fax_number": "910-392-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034412",
"telephone_number": "910-392-2920",
"fax_number": "910-392-2221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPARELLI & MELLIS DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CAPARELLI",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "INGLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-392-2920",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "6831",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "7011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89014 PC",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
- Sheena Cannady, COTA/L
- Kevin Cannon, M.D.
- Canterwood Medical Group
- Haley Andrews Canupp, LCSWA, LCASA
- Cap Fear Clinic (Mental Health)
- Kimberly Ingle Caparelli, DDS
- Cape Fear ABA, P.C.
- Cape Fear Case Management & Counseling Services LLC
- Cape Fear Case Management & Counseling Services, LLC
- Cape Fear Cataract and Cornea, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.