Individual provider Active NPI

Coty Rappaccioli, DMD

  • Dentist
  • Sunrise, FL
National Provider Identifier
1649473588
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15733 Issued in FL
Practice address
13713 W Sunrise Blvd
Ste 205
Sunrise, FL 33323-3213
Phone
(954) 251-4849
Fax
(954) 251-0870
NPI assigned
Jun 7, 2007
Last updated
Aug 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 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 DN15733 FL Primary

Addresses

Primary practice location

13713 W Sunrise Blvd
Ste 205
Sunrise, FL 33323-3213

Mailing address

13713 W Sunrise Blvd Ste 205
Ste 205
Sunrise, FL 33323
Phone (954) 251-4849

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
I20150818003178 FL Order and Referring Only - DentistPractitioner - Dentist 5092020289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sawgrass Gentle Dentistry CurrentSince May 9, 2021 Accepting new patients

Locations

13713 W Sunrise Blvd
Ste 205
Sunrise, FL 33323
Phone (954) 251-4849

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1649473588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13713 W SUNRISE BLVD STE 205",
            "address_2": "STE 205",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33323",
            "telephone_number": "954-251-4849",
            "fax_number": "954-251-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13713 W SUNRISE BLVD",
            "address_2": "STE 205",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233213",
            "telephone_number": "954-251-4849",
            "fax_number": "954-251-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPPACCIOLI",
        "first_name": "COTY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.