Active NPI
Robert Glen Rapp, EPDH
- Dental Hygienist
- Salem, OR
National Provider Identifier
1073901773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H3591
- Practice address
- 2331 Crestview Dr S
Salem, OR 97302-5301 - Phone
- (971) 599-1214
- NPI assigned
- Jan 3, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H3591 | OR | Primary |
Addresses
Primary practice location
2331 Crestview Dr S
Salem, OR 97302-5301
Mailing address
2331 Crestview Dr S
PO Box 3161
Salem, OR 97302-5301
Phone (971) 599-1214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H3591 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420243200000",
"number": "1073901773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2331 CRESTVIEW DR S",
"address_2": "PO BOX 3161",
"city": "SALEM",
"state": "OR",
"postal_code": "973025301",
"telephone_number": "971-599-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 CRESTVIEW DR S",
"city": "SALEM",
"state": "OR",
"postal_code": "973025301",
"telephone_number": "971-599-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPP",
"first_name": "ROBERT",
"middle_name": "GLEN",
"name_prefix": "Mr.",
"credential": "EPDH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-03",
"last_updated": "2015-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H3591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.