Dr. Edmund Leo Rapp, D.D.S., M.S.D.
Dentist, Endodontics in Indianapolis, IN. Individual provider (NPI-1).
NPI number1417023235
StatusActive
Last updated in NPPESApr 22, 2020
Details
- NPI
- 1417023235
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edmund Leo Rapp
- Credential
- D.D.S., M.S.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2006
- Certification date
- Apr 22, 2020
- Last updated
- Apr 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - OTHER (PHYSICIAN)
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | 12008930A | IN | Yes |
Practice location
8937 Southpointe Dr Ste A2Indianapolis, IN 46227-1087
Phone 317-300-1744 · Fax 317-300-1967
Mailing address
8937 Southpointe Dr Ste A2Indianapolis, IN 46227-1087
Phone 317-300-1744 · Fax 317-300-1967
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