DR. MANNY RAPP (NPI# 1962843961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962843961 |
| Entity Type | Individual |
| Full Name | DR. MANNY RAPP |
| Credential | DDS |
| Practice Address |
1701 N. Green Valley Pkwy #8e Henderson NV 89074 |
| Practice Telephone | 7024921955 |
| Practice Fax Number | 7024927663 |
| Mailing Telephone | 7024921955 |
| Mailing Fax Number | 7024927663 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3742 | NV | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
S6-26 | NV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | STATE DENTAL LIC NUMBER | 3742 | 01 |
| NV | SPECIALTY LICENSE | S6-26 | 01 |
| TAX ID # | 02-0637337 | 01 |
| Street Address |
1701 N. GREEN VALLEY PKWY #8E |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326537028 | Henderson Pediatric Dentistry PC | Dentist | 390 N Stephanie St Ste 104, Henderson, NV 89014-8029 | 2018-05-08 |
| 1457703290 | Wesley Archer | Dentist | 10400 S Eastern Ave, Henderson, NV 89052-3957 | 2016-07-05 |
| 1699074112 | Rhonda L Kearney, Dds, Ms, Pllc | Dentist | 451 Ruin Creek Rd., 205, Henderson, NC 27536-0000 | 2011-03-23 |
| 1740485846 | Rhonda Louise Kearney | Dentist | 451 Ruin Creek Rd Ste 205, Henderson, NC 27536-5920 | 2007-06-19 |
| 1871702076 | Mark Clayton Peterson | Dentist | 1600 W Sunset Rd Ste B, Henderson, NV 89014-2655 | 2007-05-22 |
| 1003939810 | Daniel William Sims Professional Corporation | Dentist | 375 N Stephanie St Bldg 6, Suite 611, Henderson, NV 89014-8771 | 2007-04-08 |
| 1841392172 | Chad W. Ellsworth | Dentist | 2843 St. Rose Pkwy, Suite 100, Henderson, NV 89052 | 2006-09-05 |
| 1740391465 | Laurence Jay Levine | Dentist | 2610 W Horizon Ridge Pkwy Ste 202, Henderson, NV 89052-2870 | 2006-08-31 |
| 1912924820 | Adaven Childrens Dentistry | Dentist | 1701 N Green Valley Parkway, #8e, Henderson, NV 89074 | 2006-07-16 |
| 1104879717 | Maryam Sina Dds Ltd | Dentist | 2551 N Green Valley Pkwy, Suite #400a, Henderson, NV 89014-0272 | 2006-05-18 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.