DR PETER A CAPODLILUPO DDS P.C. (NPI# 1609061886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609061886 |
| Entity Type | Organization |
| Organization Name | DR PETER A CAPODLILUPO DDS P.C. |
| Practice Address |
563 Broadway Ste 21 Everett MA 02149-3749 |
| Practice Telephone | 6173894646 |
| Practice Fax Number | 6173894657 |
| Mailing Telephone | 6173894646 |
| Mailing Fax Number | 6173894657 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |
| Authorized Official Name | DR. PETER A CAPODILUPO SR. (OWNER) |
| Authorized Official Telephone | 6173894646 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
563 BROADWAY STE 21 |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-3749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| 1700494747 | Hwang Ghorbanian Im II Dds Ps | Dentist | 111 Se Everett Mall Way Ste B100, Everett, WA 98208-3208 | 2020-07-15 |
| 1467946376 | Quirt, Mongrain, Gibree, P.C. | Dentist | 10025 19th Ave Se Ste 200, Everett, WA 98208-4275 | 2018-06-15 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1003176512 | Phuongdao Dmd LLC | Dentist | 910 Broadway Fl 1, Everett, MA 02149-3126 | 2012-05-18 |
| 1275869000 | Dae Ho Kim | Dentist | 5929 Evergreen Way Ste 100, Everett, WA 98203-6031 | 2009-10-29 |
| 1578727269 | Atkinson & Kaopua, Ps | Dentist | 111 Se Everett Mall Way Ste D, Everett, WA 98208-3208 | 2008-07-11 |
| 1942468004 | Kee Nam Kim | Dentist | 10303 19th Ave Se Ste A, Everett, WA 98208-4265 | 2008-05-27 |
| 1124223755 | Phuong Thi Dao | Dentist | 910 Broadway, 1, Everett, MA 02149-3126 | 2007-06-14 |
| 1083827596 | C.kim & Y.kim, Dds, Ps | Dentist | 13410 Highway 99 Ste 202, Everett, WA 98204-5454 | 2007-05-08 |
| Find all providers in EVERETT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.