Active NPI
Erela Katz Rappaport, D.M.D.
- General Practice Dentistry
- Poway, CA
National Provider Identifier
1073609277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 40187
- Practice address
- 15706 Pomerado Rd
Suite 205
Poway, CA 92064-2067 - Phone
- (858) 726-5554
- Fax
- (858) 487-4281
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 40187 | CA | Primary |
Addresses
Primary practice location
15706 Pomerado Rd
Suite 205
Poway, CA 92064-2067
Mailing address
15706 Pomerado Rd
Suite 205
Poway, CA 92064-2067
Phone (858) 726-5554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40187 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erela Katz Rappaport DMD a Professional Corporation | General Practice | Current | Accepting new patients |
Locations
15706 Pomerado Rd
Ste 205
Poway, CA 92064
Phone (858) 674-5954
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Poway, CA
- NPI 1427622489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1073609277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15706 POMERADO RD",
"address_2": "SUITE 205",
"city": "POWAY",
"state": "CA",
"postal_code": "920642067",
"telephone_number": "858-726-5554",
"fax_number": "858-487-4281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15706 POMERADO RD",
"address_2": "SUITE 205",
"city": "POWAY",
"state": "CA",
"postal_code": "920642067",
"telephone_number": "858-726-5554",
"fax_number": "858-487-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPPAPORT",
"first_name": "ERELA",
"middle_name": "KATZ",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "40187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.