Christopher Paul Rapp, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2009015287 Issued in MO

Practice address

315 W. Losely St.
375 Medical Group
Scott AFB, IL 62225-5252

Phone

(618) 256-6667

NPI assigned

Jul 9, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1720217987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W. LOSELY ST.",
            "address_2": "375 MEDICAL GROUP",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622255252",
            "telephone_number": "618-256-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W. LOSELY ST.",
            "address_2": "375 MEDICAL GROUP",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622255252",
            "telephone_number": "618-256-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPP",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2009015287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd W. Poindexter, M.D.
• Charles Robert Portwood, D.C.
• Laura Lea Raineri, FNP
• Jamie Rand, M.D.
• Leah Safirstein Rankin, D.M.D.
• D'Mario Revere, IDMT
• Zachary B Reynolds
• Lawrence Marshall Riddles, MD
• Zachary Aaron Ross, DO
• Kenneth Royal Russell Jr., DPH

• General Practice Dentistry in Scott AFB, IL
• Providers in Scott AFB, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.