Active NPI
David T Cappetta, DMD
- Dentist
- St Louis, MO
National Provider Identifier
1992853527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15104
- Practice address
- 1034 So Brentwood Blvd
University Club Tower BLD
St Louis, MO 63117 - Phone
- (314) 862-7007
- Fax
- (314) 862-5777
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15104 | MO | Primary |
Addresses
Primary practice location
1034 So Brentwood Blvd
University Club Tower BLD
St Louis, MO 63117
Mailing address
1034 So Brentwood Blvd
University Club Tower BLD
St Louis, MO 63117
Phone (314) 862-7007
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15104 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992853527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 SO BRENTWOOD BLVD",
"address_2": "UNIVERSITY CLUB TOWER BLD",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63117",
"telephone_number": "314-862-7007",
"fax_number": "314-862-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 SO BRENTWOOD BLVD",
"address_2": "UNIVERSITY CLUB TOWER BLD",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63117",
"telephone_number": "314-862-7007",
"fax_number": "314-862-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPETTA",
"first_name": "DAVID",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "15104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.