Individual provider Active NPI

Liza Rapoza, DMD

  • Dentist
  • Plymouth Meeting, PA
National Provider Identifier
1669098364
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS042742 Issued in PA
Practice address
880 Township Line Rd
Plymouth Meeting, PA 19462-7183
Phone
(610) 279-8001
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DS042742 PA Primary

Addresses

Primary practice location

880 Township Line Rd
Plymouth Meeting, PA 19462-7183

Mailing address

130 Carriage CT
Plymouth Meeting, PA 19462-1451
Phone (610) 955-9166

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
DS042742PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1669098364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CARRIAGE CT",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621451",
            "telephone_number": "610-955-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 TOWNSHIP LINE RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194627183",
            "telephone_number": "610-279-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPOZA",
        "first_name": "LIZA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.