Active NPI
Edward M Tapper, M.D.
- Orthopaedic Surgery Physician
- Gardnerville, NV
National Provider Identifier
1124019591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- C29083
- Practice address
- 1520 Virginia Ranch Rd
Suite 101B
Gardnerville, NV 89410-5731 - Phone
- (775) 782-2442
- Fax
- (775) 783-6199
- NPI assigned
- Nov 3, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | C29083 | CA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 3279 | NV |
Addresses
Primary practice location
1520 Virginia Ranch Rd
Suite 101B
Gardnerville, NV 89410-5731
Mailing address
973 Mica Dr
Suite 201
Carson City, NV 89705-7255
Phone (775) 783-6190
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C290830 | Other | CA | MEDI-CAL |
| CC6621 | Other | NV | BCBS |
| 2003061 | Medicaid | NV | |
| P00722837 | Other | NV | MEDICARE RAILROAD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29083 | CA | MD | Pharmacist |
| C29083 | CA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1124019591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "973 MICA DR",
"address_2": "SUITE 201",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897057255",
"telephone_number": "775-783-6190",
"fax_number": "775-783-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 VIRGINIA RANCH RD",
"address_2": "SUITE 101B",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894105731",
"telephone_number": "775-782-2442",
"fax_number": "775-783-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPPER",
"first_name": "EDWARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "C29083",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NV",
"license": "3279",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "00C290830",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "CC6621",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2003061",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00722837",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gardnerville, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.