NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jack Capodice Jr., MD, DMD

Oral and Maxillofacial Surgery (Dentist) in Bloomington, IL · enumerated 2005 · practices at Capodice, Efaw, Ocheltree & Elger Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053397612

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Dr. Jack Capodice Jr.
Credential MD, DMD
Sex Male
Practice address 109 N Regency Dr, Bloomington, IL, 61701
Phone (309) 663-2526
Fax (309) 663-4788
Enumeration date Dec 15, 2005
Last updated in NPPES Apr 6, 2026

Taxonomy & licenses

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 019022744 (IL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jack Capodice?
The National Provider Identifier (NPI) for Jack Capodice is 1053397612, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jack Capodice practice?
The practice location on file with NPPES is in Bloomington, IL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-06.