Active NPI
Kristine Marie Rhoades, D.D.S.
- Dentist
- Newcastle, WY
National Provider Identifier
1134417082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1301
- Practice address
- 17 S Seneca Ave
Newcastle, WY 82701-2816 - Phone
- (307) 746-4772
- NPI assigned
- Jul 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6966 | NE | |
| Dentist | 122300000X | 1301 | WY | Primary |
Addresses
Primary practice location
17 S Seneca Ave
Newcastle, WY 82701-2816
Mailing address
173 Butte Dr
Newcastle, WY 82701-3123
Phone (307) 941-0612
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 |
|---|---|---|---|
| 1301 | WY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1134417082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 BUTTE DR",
"city": "NEWCASTLE",
"state": "WY",
"postal_code": "827013123",
"telephone_number": "307-941-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 S SENECA AVE",
"city": "NEWCASTLE",
"state": "WY",
"postal_code": "827012816",
"telephone_number": "307-746-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADES",
"first_name": "KRISTINE",
"middle_name": "MARIE",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6966",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WY",
"license": "1301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newcastle, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.