Active NPI
Tal Rapoport, D.M.D.
- Dentist
- Rochester, NY
National Provider Identifier
1962735795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 057645-1
- Practice address
- 625 Elmwood Ave
Eastman Dental Center
Rochester, NY 14620-2913 - Phone
- (585) 275-5051
- NPI assigned
- Sep 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 057645-1 | NY | Primary |
Addresses
Primary practice location
625 Elmwood Ave
Eastman Dental Center
Rochester, NY 14620-2913
Mailing address
625 Elmwood Ave
Eastman Dental Center
Rochester, NY 14620-2913
Phone (585) 275-5051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 28, 2025 through Feb 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057645-1 | NY | MD | Dentist |
| 108605 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1962735795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ELMWOOD AVE",
"address_2": "EASTMAN DENTAL CENTER",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146202913",
"telephone_number": "585-275-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 ELMWOOD AVE",
"address_2": "EASTMAN DENTAL CENTER",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146202913",
"telephone_number": "585-275-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPOPORT",
"first_name": "TAL",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "057645-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.