Individual provider Active NPI

Paul Edward Rapetti, DMD

  • Dentist
  • Ingomar, PA
National Provider Identifier
1376979112
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS20137L Issued in PA
Practice address
736 W Ingomar Rd
Ingomar, PA 15127-2000
Phone
(412) 364-7188
Fax
(412) 348-0143
NPI assigned
Sep 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS20137L PA Primary

Addresses

Primary practice location

736 W Ingomar Rd
Ingomar, PA 15127-2000

Mailing address

736 W Ingomar Rd
Ingomar, PA 15127-2000
Phone (412) 364-7188

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

LicenseStateTypeSpecialty
DS20137LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rees Crawford Flannery & Bert M Bullington Past Accepting new patients
McCandless Family Dentistry PastSince Mar 20, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1376979112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 W INGOMAR RD",
            "city": "INGOMAR",
            "state": "PA",
            "postal_code": "151272000",
            "telephone_number": "412-364-7188",
            "fax_number": "412-348-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 W INGOMAR RD",
            "city": "INGOMAR",
            "state": "PA",
            "postal_code": "151272000",
            "telephone_number": "412-364-7188",
            "fax_number": "412-348-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPETTI",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS20137L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ingomar, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.