Rhonda Lynn Vanspeybroeck, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

850 36TH Ave
Moline, IL 61265-7169

Phone

(309) 764-7631

Fax

(309) 764-7635

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virdi Dental

  dba Sweet Lime LLC

  • Dental Clinic/Center
  • Moline, IL
  • NPI 1215584545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093924508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 36TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657169",
            "telephone_number": "309-764-7631",
            "fax_number": "309-764-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 36TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657169",
            "telephone_number": "309-764-7631",
            "fax_number": "309-764-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSPEYBROECK",
        "first_name": "RHONDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley View Anesthesia LLC
• John Joseph Van Straten
• James R. Vana, D.C.
• Lynn Deanne Vance, MA CCC SLP
• Karla A Vankeulen, MD
• Courtney E Vantheemsche
• Marianne Eva Vanvooren, PA-C
• Vascular & Thoracic Assoc LTD.
• Daniel Vazquez, DC
• Casey A. Veach, M.D.

• General Practice Dentistry in Moline, IL
• Providers in Moline, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.