Individual provider Active NPI

Dennis K Rhyne, MD

  • Psychiatry Physician
  • Bradenton, FL
National Provider Identifier
1316927528
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME122788 Issued in FL
Practice address
5214 4TH Avenue Cir E
Bradenton, FL 34208-5621
Phone
(941) 782-4618
Fax
(941) 782-4642
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01031462A IN
Psychiatry Physician 2084P0800X ME122788 FL Primary

Addresses

Primary practice location

5214 4TH Avenue Cir E
Bradenton, FL 34208-5621

Mailing address

PO Box 9478
Bradenton, FL 34206-9478
Phone (941) 782-4299

Other identifiers 2

IdentifierTypeStateIssuer
014717400MedicaidFL
100353790MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120106000599 IN Practitioner - PsychiatryPractitioner - Addiction MedicinePractitioner - Neuropsychiatry 8426224734 Reassigns benefits to 2 organizations
I20150528002865 FL Practitioner - Psychiatry 8426224734 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME122788FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jul 20, 2021 Accepting new patients
Centerstone of Florida, Inc. CurrentSince Apr 10, 2015 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 20, 2021 Accepting new patients
Centerstone of Florida, Inc. PastSince Jul 4, 2021 Accepting new patients

Locations

5214 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 782-4618

2020 26th Ave E
Bradenton, FL 34208
Phone (941) 782-4600

5819 Reliable Pkwy
Chicago, IL 60686

8102 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 572-9319

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

Interoperability endpoints

  • Direct secure messaging: drhyne515984@ecommunitydirect.com

Organizations & group practices 5

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1316927528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9478",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342069478",
            "telephone_number": "941-782-4299",
            "fax_number": "941-782-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 4TH AVENUE CIR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085621",
            "telephone_number": "941-782-4618",
            "fax_number": "941-782-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHYNE",
        "first_name": "DENNIS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01031462A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME122788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014717400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100353790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.