Joseph Matthew Rhodes, D.D.S.
Individual provider Active NPI General Practice Dentistry · Brookville, OH
NPI 1245593243 · NPPES record last updated Jun 25, 2012
Key facts
- NPI
- 1245593243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30.023757 (OH)
- Practice address
- 480 Rona Pkwy
Brookville, OH 45309-1118 - Phone
- (937) 833-5247
- Fax
- (937) 833-1517
- NPI assigned
- Jun 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160708002215 | OH | Order and Referring Only - Oral Surgery |
5890087936 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.023757 | OH | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.023757 | OH | Yes |
Addresses
Primary practice location
480 Rona Pkwy
Brookville, OH 45309-1118
Mailing address
480 Rona Pkwy
Brookville, OH 45309-1118
Phone (937) 833-5247
Other providers in Brookville, OH
- Preferred Senior Transportation, LLC
- Christian Michael Pugh
- Randall R. Shaffer, D.C., Inc.
- Reed'S Health Advantage, LLC
- John Edward Rhodes Jr.
- Rite Aid of Ohio Inc
- Patricia Rupp-Hunt
- Samaritan Family Care, Inc.
- Angelena E Schauer
- Mark Everett Schmidt
All providers in Brookville, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.