Organization Active NPI

Jeffrey W Rhonemus,D.D.S.,P.C.

  • Dental Clinic/Center
  • Liberty, IN
National Provider Identifier
1124213962
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54001205 Issued in IN
Legal business name
JEFFREY W RHONEMUS,D.D.S.,P.C.
Practice address
302 S Fairground St
Liberty, IN 47353-1414
Phone
(765) 458-5618
Fax
(765) 458-6734
NPI assigned
Sep 13, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Dr. Jeffrey William Rhonemus, DDS
Title
Pres
Phone
(765) 458-5618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 54001205 IN Primary

Addresses

Primary practice location

302 S Fairground St
Liberty, IN 47353-1414

Mailing address

302 S Fairground St
Liberty, IN 47353-1414
Phone (765) 458-5618

Other identifiers 1

IdentifierTypeStateIssuer
54001205OtherININDIANA CORP LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1124213962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S FAIRGROUND ST",
            "city": "LIBERTY",
            "state": "IN",
            "postal_code": "473531414",
            "telephone_number": "765-458-5618",
            "fax_number": "765-458-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S FAIRGROUND ST",
            "city": "LIBERTY",
            "state": "IN",
            "postal_code": "473531414",
            "telephone_number": "765-458-5618",
            "fax_number": "765-458-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY W RHONEMUS,D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "RHONEMUS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "765-458-5618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "54001205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA CORP LICENSE",
            "identifier": "54001205",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.