Rhoda P Kublickis, MHS, CRDH, FAADH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

7119 Issued in FL

Practice address

274 Tropic Dr
Lauderdale by the Sea, FL 33308-5428

Phone

(954) 829-4260

NPI assigned

May 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1124641337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 TROPIC DR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085428",
            "telephone_number": "954-829-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 TROPIC DR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085428",
            "telephone_number": "954-829-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBLICKIS",
        "first_name": "RHODA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "MHS, CRDH, FAADH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "902872",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NJ",
            "license": "22HI00397500",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "7119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Fischetto, Ms,PA
• Linda Louise Keene, MSPT
• Kenbeck LLC
• Brenda Klee, ARNP
• Natalie Koulouvaris, L.AC.
• Julian Dieter Laumeier, PT
• Roger J Lavine Jr., PSYD.
• Stephen Ronald Levin, PH.D.
• Carmen Maco, D.M.D
• Susan Marinelli, OTR

• Dental Hygienist in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.