Individual provider Active NPI

Albert P Capati, D.M.D

  • Dentist
  • Springfield, IL
National Provider Identifier
1932364569
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.025999 Issued in IL
Practice address
1027 S 2ND St
Springfield, IL 62704-3004
Phone
(217) 522-4451
Fax
(217) 522-3980
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.025999 IL Primary

Addresses

Primary practice location

1027 S 2ND St
Springfield, IL 62704-3004

Mailing address

1027 S 2ND St
Springfield, IL 62704-3004
Phone (217) 522-4451

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.025999ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1932364569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S 2ND ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043004",
            "telephone_number": "217-522-4451",
            "fax_number": "217-522-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 S 2ND ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043004",
            "telephone_number": "217-522-4451",
            "fax_number": "217-522-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPATI",
        "first_name": "ALBERT",
        "middle_name": "P",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.025999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.