Organization Active NPI

Caparelli & Mellis DDS PLLC

  • Dentist
  • Wilmington, NC
National Provider Identifier
1922024702
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7011 Issued in NC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 6831 NC
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
89014 PCMedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.