Individual provider Active NPI

David Bruce Rappaport, DMD

  • General Practice Dentistry
  • Hollywood, FL
National Provider Identifier
1639280381
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN13947 Issued in FL
Practice address
12129 Sheridan St
Hollywood, FL 33026-1400
Phone
(954) 433-1888
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 041836 NY
General Practice Dentistry 1223G0001X DN13947 FL Primary

Addresses

Primary practice location

12129 Sheridan St
Hollywood, FL 33026-1400

Mailing address

9758 Bozzano Dr
Delray Beach, FL 33446-1788
Phone (516) 551-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160225000225 FL Order and Referring Only - DentistPractitioner - Dentist 8123323458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN13947FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
G&a Family Dentistry PLLC General Practice Past Accepting new patients
Sage Dental of Cooper City, PLLC PastSince Oct 5, 2021 Accepting new patients
.Shofnos and Adami, DDS PA General Practice PastSince Oct 5, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1639280381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9758 BOZZANO DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461788",
            "telephone_number": "516-551-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12129 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261400",
            "telephone_number": "954-433-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPPAPORT",
        "first_name": "DAVID",
        "middle_name": "BRUCE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041836",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.