Capitol Periodontal Group
Capitol Periodontal Group is a healthcare organization registered as Periodontics in Davis, CA, holding Type 2 (organization) NPI 1366908618 since 2019. The authorized official on file is Renee Blake, Insurance Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366908618 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Capitol Periodontal Group |
| Practice address | 750 F STREET #5, Davis, CA, 95616 |
| Phone | 5307566087 |
| Fax | 5307565688 |
| Enumeration date | 2019-02-12 |
| Last updated in NPPES | 2019-02-12 |
Authorized official
| Name | Renee Blake |
|---|---|
| Title | Insurance Coordinator |
| Phone | 9166911050 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0300X | Periodontics | Primary | — | — |
Copy-ready billing details
Provider: Capitol Periodontal Group NPI: 1366908618 Taxonomy: 1223P0300X (Periodontics) Address: 750 F STREET #5, Davis, CA, 95616
Verify this record
Cross-check NPI 1366908618 against the authoritative CMS record: view Capitol Periodontal Group on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Capitol Periodontal Group?
Who is the authorized official for Capitol Periodontal Group?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-02-12.