Active NPI
Eduardo Rappaccioli
- Pediatric Dentistry
- Austin, TX
National Provider Identifier
1306408471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 35018
- Practice address
- 4638 W Gate Blvd
Austin, TX 78745-1461 - Phone
- (512) 234-3535
- NPI assigned
- Jun 28, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 35018 | TX | Primary |
Addresses
Primary practice location
4638 W Gate Blvd
Austin, TX 78745-1461
Mailing address
300 E Riverside Dr Apt 433
Austin, TX 78704-0182
Phone (323) 337-2882
Other practice location 1
4638 W Gate Blvd
Austin, TX 78745-1461
Phone (512) 234-3535
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 |
|---|---|---|---|
| 35018 | TX | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1306408471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E RIVERSIDE DR APT 433",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787040182",
"telephone_number": "323-337-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4638 W GATE BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451461",
"telephone_number": "512-234-3535"
}
],
"practiceLocations": [
{
"address_1": "4638 W Gate Blvd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787451461",
"country_code": "US",
"telephone_number": "512-234-3535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAPPACCIOLI",
"first_name": "EDUARDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-28",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "35018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.