Organization Active NPI

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

  • Dental Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1659447480
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54000800A Issued in IN
Legal business name
EDMUND L. RAPP, D.D.S., M.S.D., P.C.
Practice address
1350 E County Line Rd
Suite G
Indianapolis, IN 46227-0873
Phone
(317) 887-7732
Fax
(317) 887-7731
NPI assigned
Nov 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edmund Leo Rapp, D.D.S., M.S.D.NPI 1417023235
Title
President
Phone
(317) 887-7732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 54000800A IN Primary

Addresses

Primary practice location

1350 E County Line Rd
Suite G
Indianapolis, IN 46227-0873

Mailing address

1350 E County Line Rd
Suite G
Indianapolis, IN 46227-0873
Phone (317) 887-7732

National Provider Directory

National Provider Directory

Locations

1350 E County Line Rd
Ste G
Indianapolis, IN 46227
Phone (317) 887-7732

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659447480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E COUNTY LINE RD",
            "address_2": "SUITE G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270873",
            "telephone_number": "317-887-7732",
            "fax_number": "317-887-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E COUNTY LINE RD",
            "address_2": "SUITE G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270873",
            "telephone_number": "317-887-7732",
            "fax_number": "317-887-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUND L. RAPP, D.D.S., M.S.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAPP",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-887-7732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "54000800A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

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