Active NPI
Lance Randall Rhoten, DDS
- General Practice Dentistry
- Kennewick, WA
National Provider Identifier
1093201824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60861720
- Practice address
- 5000 W Clearwater Ave
Kennewick, WA 99336-1910 - Phone
- (509) 783-5000
- NPI assigned
- Jul 4, 2018
- Last updated
- Jul 4, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE60861720 | WA | Primary |
Addresses
Primary practice location
5000 W Clearwater Ave
Kennewick, WA 99336-1910
Mailing address
193 Arroyo St
Richland, WA 99352-8488
Phone (509) 392-2083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60861720 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Han, Rose and Rhoten, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Clearwater Dental
- Dental Clinic/Center
- Kennewick, WA
- NPI 1013153469
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530662400000",
"number": "1093201824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 ARROYO ST",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528488",
"telephone_number": "509-392-2083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993361910",
"telephone_number": "509-783-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOTEN",
"first_name": "LANCE",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-04",
"last_updated": "2018-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60861720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.