Active NPI
Jennifer Michelle Rapini, DDS
- General Practice Dentistry
- Alton, IL
National Provider Identifier
1194030957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19035149
- Practice address
- 2800 College Ave
Alton, IL 62002-4742 - Phone
- (580) 371-2343
- Fax
- (580) 371-3614
- NPI assigned
- Aug 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6454 | OK | |
| Dentist | 122300000X | 2010017952 | MO | |
| General Practice Dentistry | 1223G0001X | 19035149 | IL | Primary |
Addresses
Primary practice location
2800 College Ave
Alton, IL 62002-4742
Mailing address
2800 College Ave
Alton, IL 62002-4742
Phone (580) 371-2343
Other practice location 1
606 E Buchanan St # Mo
California, MO 65018-1910
Phone (573) 632-2777
Other practice location 2
610 E 24th St
Tishomingo, OK 73460-3245
Phone (580) 371-2343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231206004138 | OK | Order and Referring Only - Dentist | 0648543074 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010017952 | MO | MD | Dentist |
| 19035149 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Methodist Western Kansas Mexican American Ministries, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jennifer.rapini.p1@direct.chccmo.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Garden City, KS
- NPI 1083752935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1194030957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 COLLEGE AVE",
"city": "ALTON",
"state": "IL",
"postal_code": "620024742",
"telephone_number": "580-371-2343",
"fax_number": "580-371-3614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 COLLEGE AVE",
"city": "ALTON",
"state": "IL",
"postal_code": "620024742",
"telephone_number": "580-371-2343",
"fax_number": "580-371-3614"
}
],
"practiceLocations": [
{
"address_1": "606 E Buchanan St # Mo",
"address_purpose": "LOCATION",
"city": "California",
"state": "MO",
"postal_code": "650181910",
"country_code": "US",
"telephone_number": "573-632-2777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 E 24th St",
"address_purpose": "LOCATION",
"city": "Tishomingo",
"state": "OK",
"postal_code": "734603245",
"country_code": "US",
"telephone_number": "580-371-2343",
"fax_number": "580-371-3614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAPINI",
"first_name": "JENNIFER",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-17",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6454",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2010017952",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "19035149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.