Organization Active NPI

Walter Rapacz DDS PC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1699791723
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2212 Issued in AZ
Legal business name
WALTER RAPACZ DDS PC
Practice address
3233 E Chandler Blvd
#15
Phoenix, AZ 85048-7297
Phone
(480) 759-4501
Fax
(480) 704-0841
NPI assigned
Jul 14, 2006
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. Walter J Rapacz Jr., DDS
Title
Dentist Owner
Phone
(480) 759-4501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2212 AZ Primary

Addresses

Primary practice location

3233 E Chandler Blvd
#15
Phoenix, AZ 85048-7297

Mailing address

3233 E Chandler Blvd
#15
Phoenix, AZ 85048-7297
Phone (480) 759-4501

National Provider Directory

National Provider Directory

Locations

3233 E Chandler Blvd
Ste 15
Phoenix, AZ 85048
Phone (480) 759-4501

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699791723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 E CHANDLER BLVD",
            "address_2": "#15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487297",
            "telephone_number": "480-759-4501",
            "fax_number": "480-704-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 E CHANDLER BLVD",
            "address_2": "#15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487297",
            "telephone_number": "480-759-4501",
            "fax_number": "480-704-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER RAPACZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAPACZ",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "480-759-4501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "2212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

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.