Individual provider Active NPI

Evan Zachary Kapp, DO, MPH

  • Occupational Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1942260997
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
A1170-01 Issued in NM
Practice address
8322 Vintage Dr NE
Albuquerque, NM 87122-2646
Phone
(505) 385-6098
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A1170-01 NM
Aerospace Medicine Physician 2083A0100X A1170-01 NM
Occupational Medicine Physician 2083X0100X A1170-01 NM Primary

Addresses

Primary practice location

8322 Vintage Dr NE
Albuquerque, NM 87122-2646

Mailing address

8322 Vintage Dr NE
Albuquerque, NM 87122-2646
Phone (505) 385-6098

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
A1170-01NMMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1942260997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 VINTAGE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222646",
            "telephone_number": "505-385-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 VINTAGE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222646",
            "telephone_number": "505-385-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPP",
        "first_name": "EVAN",
        "middle_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A1170-01",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "NM",
            "license": "A1170-01",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NM",
            "license": "A1170-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.