Jack Capodice, MD, DMD

ActiveIndividual ProviderDentistry
NPI issued: December 15, 2005

Quick Facts

NPI Number
1053397612
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223S0112X — Dentistry
Phone
(309) 663-2526
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1053397612)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (December 15, 2005)
Data source: CMS NPPES

Provider Overview

JACK CAPODICE, MD, DMD is a Dentistry provider based in Bloomington, IL who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1053397612
Provider TypeIndividual Provider
GenderMale
CredentialMD, DMD
StatusActive
Enumeration DateDecember 15, 2005

Practice Location

CityBloomington
StateIL
ZIP Code61701-3515
Phone(309) 663-2526

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223S0112X
License StateIL

Mailing Address

CityBloomington
StateIL
ZIP Code61701-3515
Phone(309) 663-2526
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1053397612 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1053397612for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1053397612 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
12,064
Dentistry Providers in the US

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People Also Ask

What is Jack Capodice's NPI number?
Jack Capodice's NPI number is 1053397612, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jack Capodice's NPI currently active?
Yes, Jack Capodice's NPI status is Active as of the latest CMS NPPES database updates.
What does Jack Capodice specialize in?
Jack Capodice specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223S0112X.
Where does Jack Capodice practice?
Jack Capodice practices in Bloomington, IL 61701-3515.
When was Jack Capodice's NPI issued?
Jack Capodice's NPI was issued on December 15, 2005.
What is Jack Capodice's provider type?
Jack Capodice is registered as an Individual Provider under CMS NPI Type 1.