Individual provider Active NPI

Ryan Paul Rhodes, DDS

  • Dentist
  • Southampton, NY
National Provider Identifier
1164926259
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
060601 Issued in NY
Practice address
260 Hampton Rd Ste 2
Southampton, NY 11968-5028
Phone
(631) 324-8300
NPI assigned
Mar 22, 2018
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 060601 NY Primary

Addresses

Primary practice location

260 Hampton Rd Ste 2
Southampton, NY 11968-5028

Mailing address

150 Three Mile Harbor Rd Apt B
East Hampton, NY 11937-2161
Phone (631) 905-8635

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

LicenseStateTypeSpecialty
060601NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Rhodes DDS, P.C. CurrentSince Jun 9, 2024 Accepting new patients

Locations

260 Hampton Rd
Ste 2
Southampton, NY 11968
Phone (631) 259-4700

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.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1164926259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 THREE MILE HARBOR RD APT B",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372161",
            "telephone_number": "631-905-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 HAMPTON RD STE 2",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685028",
            "telephone_number": "631-324-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "RYAN",
        "middle_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "060601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.