Individual provider Active NPI

Clifford B Cappelli, D.M.D.

  • General Practice Dentistry
  • Rifle, CO
National Provider Identifier
1962546440
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14316 Issued in NC
Practice address
1430 Railroad Ave Ste B
Rifle, CO 81650-3334
Phone
(970) 625-1696
Fax
(800) 378-8718
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7747 CO
General Practice Dentistry 1223G0001X 14316 NC Primary

Addresses

Primary practice location

1430 Railroad Ave Ste B
Rifle, CO 81650-3334

Mailing address

1430 Railroad Ave Ste B
Rifle, CO 81650-3334
Phone (970) 625-1696

Other practice location 1

Corner of Route N12 and N7
Fort Defiance, AZ 86504
Phone (928) 729-8000

Other practice location 2

527 West Ave
Rifle, CO 81650-3553
Phone (970) 625-1696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021004152 TX Order and Referring Only - DentistPractitioner - Dentist 2264797125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7747COMDGeneral Practice Dentistry
14316NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rifle Smiles PC Current Accepting new patients
Rifle Smiles PC Current Accepting new patients
Clifford B Cappelli DMD PC General Practice Past Accepting new patients

Locations

1430 Railroad Ave
Ste B
Rifle, CO 81650
Phone (970) 625-1696

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1962546440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 RAILROAD AVE STE B",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816503334",
            "telephone_number": "970-625-1696",
            "fax_number": "800-378-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 RAILROAD AVE STE B",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816503334",
            "telephone_number": "970-625-1696",
            "fax_number": "800-378-8718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Corner of Route N12 and N7",
            "address_purpose": "LOCATION",
            "city": "Fort Defiance",
            "state": "AZ",
            "postal_code": "86504",
            "country_code": "US",
            "telephone_number": "928-729-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 West Ave",
            "address_purpose": "LOCATION",
            "city": "Rifle",
            "state": "CO",
            "postal_code": "816503553",
            "country_code": "US",
            "telephone_number": "970-625-1696",
            "fax_number": "970-625-1992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPPELLI",
        "first_name": "CLIFFORD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7747",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "14316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

Verify at the official NPI Registry.