Individual provider Active NPI

Kimberly Ingle Caparelli, DDS

  • Dentist
  • Wilmington, NC
National Provider Identifier
1952480980
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6831 Issued in NC
Practice address
5125 Oleander Dr
Wilmington, NC 28403-7065
Phone
(910) 392-2920
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6831 NC Primary

Addresses

Primary practice location

5125 Oleander Dr
Wilmington, NC 28403-7065

Mailing address

5125 Oleander Dr
Wilmington, NC 28403-7065
Phone (910) 392-2920

Other identifiers 2

IdentifierTypeStateIssuer
001524490OtherUNITED CONCORDIA
89902JKMedicaidNC

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1952480980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037065",
            "telephone_number": "910-392-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037065",
            "telephone_number": "910-392-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPARELLI",
        "first_name": "KIMBERLY",
        "middle_name": "INGLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "001524490",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902JK",
            "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 May 2, 2016; 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.