Capodice, Efaw, Ocheltree & Elger PLLC
NPI 1710985759 · Oral and Maxillofacial Surgery (Dentist) · Bloomington, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Capodice, Efaw, Ocheltree & Elger PLLC is a Oral and Maxillofacial Surgery (Dentist) organization in Bloomington, IL (NPI 1710985759).
Provider details
- NPI number
- 1710985759
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Capodice, Efaw, Ocheltree & Elger PLLC
- Organization subpart
- Yes
- Authorized official
- Kyndra Bata, Office Manager(309) 663-2526
Specialties & taxonomies
Dental Providers
- Specialist174400000X
Other Service Providers
- Oral & Maxillofacial Surgery (D.M.D.)204E00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Drs Doran Capodice Efaw & Ocheltree LLC
Registry dates
- Enumerated
- 2005-07-13
- Last updated
- 2023-12-20
- Certified
- 2023-12-20
Frequently asked questions
- What is Capodice, Efaw, Ocheltree & Elger PLLC's NPI number?
- Capodice, Efaw, Ocheltree & Elger PLLC's National Provider Identifier (NPI) is 1710985759, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Capodice, Efaw, Ocheltree & Elger PLLC?
- Capodice, Efaw, Ocheltree & Elger PLLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Capodice, Efaw, Ocheltree & Elger PLLC located?
- Capodice, Efaw, Ocheltree & Elger PLLC's practice location on file with NPPES is 109 N Regency Dr, Bloomington, IL 61701-3515.
- What is Capodice, Efaw, Ocheltree & Elger PLLC's phone number?
- The practice phone number listed in the NPPES registry for Capodice, Efaw, Ocheltree & Elger PLLC is (309) 663-2526.
- Does Capodice, Efaw, Ocheltree & Elger PLLC accept Medicare?
- Capodice, Efaw, Ocheltree & Elger PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Capodice, Efaw, Ocheltree & Elger PLLC?
- The authorized official listed on Capodice, Efaw, Ocheltree & Elger PLLC's NPPES record is Kyndra Bata, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Capodice, Efaw, Ocheltree & Elger PLLC's NPI active?
- Yes — Capodice, Efaw, Ocheltree & Elger PLLC's NPI (1710985759) is active in the NPPES registry as of the last update on 2023-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.