Active NPI
Rhonda Marie McCrory, OROFACIAL MYOLOGIST
- Dental Hygienist
- West Fargo, ND
National Provider Identifier
1184219552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 635
- Practice address
- 3323 2ND St E
West Fargo, ND 58078-7953 - Phone
- (701) 793-2873
- NPI assigned
- Mar 7, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 635 | ND | Primary |
Addresses
Primary practice location
3323 2ND St E
West Fargo, ND 58078-7953
Mailing address
3323 2ND St E
West Fargo, ND 58078-7953
Phone (701) 515-1876
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rhonda@omresolutions.com | Direct |
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 |
|---|---|---|---|
| 635 | ND | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615075200000",
"number": "1184219552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3323 2ND ST E",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580787953",
"telephone_number": "701-515-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3323 2ND ST E",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580787953",
"telephone_number": "701-793-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRORY",
"first_name": "RHONDA",
"middle_name": "MARIE",
"credential": "OROFACIAL MYOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-07",
"last_updated": "2021-03-07",
"certification_date": "2020-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": "ND",
"license": "635",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rhonda@omresolutions.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Messaging Address",
"address_1": "3323 2nd St E",
"city": "West Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "580787953",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.