Charles Samuel Capra II, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5932 C1 Issued in AL

Practice address

4635 Woodmere Blvd
Montgomery, AL 36106-2900

Phone

(334) 277-5498

NPI assigned

Jun 26, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• DRS. Fry, Barganier and Hawkins, a Partnership

  • General Practice Dentistry
  • Montgomery, AL
  • NPI 1942555842
  NPD (past)

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1972867885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MAGNOLIA CURV",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062136",
            "telephone_number": "334-332-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 WOODMERE BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062900",
            "telephone_number": "334-277-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRA",
        "first_name": "CHARLES",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5932 C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capital City Gastroenterology, PC (Capital City Gatsroenterology)
• Capitol City Home Health and Rehab
• Capitol City Home Health and Rehab
• Capitol Hill Healthcare Center, Inc (Capitol Hill Healthcare Center)
• Max Leon Capouano, MD
• Cardiology Associates of Montgomery
• Cardiothoracic Surgical Associates of Montgomery, LLC
• Chris Vista Cardona, ATC
• Mikayla Cardwell
• Care Help Homecare

• General Practice Dentistry in Montgomery, AL
• Providers in Montgomery, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.