Organization Active NPI

Alan D Rapp MD, PC

  • Cardiovascular Disease Physician
  • Colorado Springs, CO
National Provider Identifier
1164592440
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
43145 Issued in CO
Legal business name
ALAN D RAPP MD, PC
Practice address
625 N Cascade Ave
Ste 215
Colorado Springs, CO 80903
Phone
(719) 442-1715
Fax
(719) 442-1547
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel L Ward, DONPI 1285632307
Title
Owner Physician President
Phone
(719) 442-1715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 43145 CO Primary

Addresses

Primary practice location

625 N Cascade Ave
Ste 215
Colorado Springs, CO 80903

Mailing address

625 N Cascade Ave
Ste 215
Colorado Springs, CO 80903-3254
Phone (719) 442-1715

Other identifiers 1

IdentifierTypeStateIssuer
14030004MedicaidCO

Other names 1

  • Pikes Peak Adult Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

625 N Cascade Ave
Ste 215
Colorado Springs, CO 80903
Phone (719) 442-1715

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1164592440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N CASCADE AVE",
            "address_2": "STE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033254",
            "telephone_number": "719-442-1715",
            "fax_number": "719-442-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N CASCADE AVE",
            "address_2": "STE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80903",
            "telephone_number": "719-442-1715",
            "fax_number": "719-442-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN D RAPP MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "719-442-1715",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "43145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14030004",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pikes Peak Adult Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.