Erin T. Rhodes, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3340-05 Issued in MS

Practice address

814 S 28TH Ave
Hattiesburg, MS 39402-2601

Phone

(601) 264-2607

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205949047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022601",
            "telephone_number": "601-264-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022601",
            "telephone_number": "601-264-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "ERIN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3340-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04459244",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Reynolds, OD
• Kimberly Reynolds, PT, DPT
• Lauren McKenzy Reynolds
• Nathan Samuel Reynolds, PT, DPT
• Suyon Rhee, DPM
• Lynne Rhodes, SLP
• Seth Isaac Rhodes, PA-C
• Spencer Avery Rhodes, DO
• Amanda Rochelle Rice, M.D.
• Amy Ricedorf, NCC

• All providers in Hattiesburg, MS
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.