Active NPI
Heather Nicole Rhodes, DDS
- Dentist
- Port Arthur, TX
National Provider Identifier
1265925739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34076
- Practice address
- 2548 Memorial Blvd
Port Arthur, TX 77640-2825 - Phone
- (469) 667-8772
- NPI assigned
- Jun 10, 2018
- Last updated
- Jun 10, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 34076 | TX | Primary |
Addresses
Primary practice location
2548 Memorial Blvd
Port Arthur, TX 77640-2825
Mailing address
4545 Meadowbrook St
Vidor, TX 77662-8902
Phone (469) 667-8772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180705000619 | TX | Order and Referring Only - Dentist | 3678829645 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34076 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528588800000",
"number": "1265925739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 MEADOWBROOK ST",
"city": "VIDOR",
"state": "TX",
"postal_code": "776628902",
"telephone_number": "469-667-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2548 MEMORIAL BLVD",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776402825",
"telephone_number": "469-667-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "HEATHER",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-10",
"last_updated": "2018-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "34076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
- Renal Care Group-Beaumont, L.P. (RCG Nederland)
- Renal Center of Nederland, LLC (Renal Center of Nederland)
- Renal Center of Port Arthur, LLC (Renal Center of Port Arthur)
- Residential Senior Care (RSC)
- Reyna Nguyen D.D.S P.L.L.C
- Richard a Schleiffer DPM Apc
- Todd Randall Rippy, P.T.A.
- Angel Ivan Rivera, DDS
- Judith Lynn Rivers, PTA
- Corey John Rizzo, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2018; 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.