1. Home
  2. Directory
  3. California
  4. Pomona
  5. Dentist
  6. NPI Profile

DR. KRYSTLE PADRE RAPISURA DMD
NPI 1932521952
Dentist - Pediatric Dentistry in Pomona, CA

Active since January 09, 2014PECOS Enrolled
309 E 2ND ST, POMONA, CA 91766(626) 453-3710 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Krystle Padre Rapisura Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRYSTLE PADRE RAPISURA DMD (NPI 1932521952) is an individual pediatric dentistry provider in Pomona, California, licensed in California (64407) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932521952
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KRYSTLE PADRE RAPISURACredential: DMD
Location Address309 E 2ND STPomona, CA 91766-1854
Mailing Address205 S Vendome StLos Angeles, CA 90057-1117 · (951) 833-7248
Phone(626) 453-3710
Sole ProprietorYes
Enumeration DateJanuary 9, 2014
Last NPPES UpdateOctober 28, 2015
✔ NPI 1932521952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 64407
Definition

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.

309 E 2ND ST, Pomona, CA 91766
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Krystle Padre Rapisura Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY IRENE NIELSEN-BROWN PA-C
Physician Assistant (Medical)
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5386
BRITTNEY TUNON
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (703) 955-6286
MR. EVAN HERSHMAN
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
CHAU MINH NGUYEN PA-C
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (951) 892-4858
AMI PATEL
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
MR. FOUAD HAJJAR
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
THAO BICH VU
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
JULIA B DIAMANT
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystle Rapisura's NPI number?

The NPI number for Krystle Rapisura is 1932521952. It was assigned to this individual provider in the NPPES registry on January 9, 2014.

Where is Krystle Rapisura located?

Krystle Rapisura practices at 309 E 2nd St, Pomona, CA 91766. The listed phone number is (626) 453-3710.

What is Krystle Rapisura's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Krystle Rapisura enrolled in Medicare?

Yes. Krystle Rapisura is registered in the Medicare PECOS enrollment system.

What insurance does Krystle Rapisura accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Krystle Rapisura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krystle Rapisura was last updated on October 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.