Edmund Leo Rapp, D.D.S., M.S.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

12008930A Issued in IN

Practice address

8937 Southpointe Dr Ste A2
Indianapolis, IN 46227-1087

Phone

(317) 300-1744

Fax

(317) 300-1967

NPI assigned

Nov 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Edmund L. Rapp, D.D.S., M.S.D., P.C.

  • Dental Clinic/Center
  • Indianapolis, IN
  • NPI 1659447480
  NPD (past) Authorized official

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1417023235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8937 SOUTHPOINTE DR STE A2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271087",
            "telephone_number": "317-300-1744",
            "fax_number": "317-300-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8937 SOUTHPOINTE DR STE A2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271087",
            "telephone_number": "317-300-1744",
            "fax_number": "317-300-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPP",
        "first_name": "EDMUND",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IN",
            "license": "12008930A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijay Udyavar Rao, M.D., PH.D
• Kristy Ann Rapes, PHARMD, RPH
• Raphael Health Center, Inc
• Raphael Health Center, Inc
• Raphael Health Center, Inc
• Griffin Carrington Rapp
• Krystal Louise Rapp, PA-C
• Patricia Walsh Rapp, MD
• Stephen Alan Rappaport, M.D.
• Susan Elaine Rardin, M.A.

• All providers in Indianapolis, IN
• Endodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.

Verify at the official NPI Registry.