Active NPI
Rhonda Lewis Wesolek, RDH
- Dental Hygienist
- Fort Rucker, AL
National Provider Identifier
1225535388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 10467
- Practice address
- BLDG 4405, Innkeeper Street
Fort Rucker, AL 36362 - Phone
- (334) 255-3393
- NPI assigned
- Apr 6, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 10467 | FL | Primary |
Addresses
Primary practice location
BLDG 4405, Innkeeper Street
Fort Rucker, AL 36362
Mailing address
107 Aberdeen Ave
Enterprise, AL 36330-2339
Phone (334) 470-7916
Other names 1
- Rhonda Sue Lewis
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 |
|---|---|---|---|
| 10467 | FL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522972800000",
"number": "1225535388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 ABERDEEN AVE",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302339",
"telephone_number": "334-470-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 4405, INNKEEPER STREET",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "36362",
"telephone_number": "334-255-3393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESOLEK",
"first_name": "RHONDA",
"middle_name": "LEWIS",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-06",
"last_updated": "2018-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "10467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RHONDA",
"last_name": "LEWIS",
"middle_name": "SUE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Rucker, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.