Individual provider Active NPI

Dale V Rhoney, DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lake Oswego, OR
National Provider Identifier
1255535175
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9472 Issued in OR
Practice address
440 A Ave
Lake Oswego, OR 97034-3038
Phone
(503) 635-9371
Fax
(503) 635-1559
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 9472 OR Primary

Addresses

Primary practice location

440 A Ave
Lake Oswego, OR 97034-3038

Mailing address

440 A Ave
Lake Oswego, OR 97034-3038
Phone (503) 635-9371

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
9472ORMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oslo Ortho, LLC Orthodontics and Dentofacial Orthopedics PastSince Oct 16, 2022 Accepting new patients
Orthodontic Specialists of Lake Oswego Orthodontics and Dentofacial Orthopedics PastSince Oct 17, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1255535175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 A AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343038",
            "telephone_number": "503-635-9371",
            "fax_number": "503-635-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 A AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343038",
            "telephone_number": "503-635-9371",
            "fax_number": "503-635-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHONEY",
        "first_name": "DALE",
        "middle_name": "V",
        "credential": "DDS PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "9472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.