Active NPI
Charmaine Rhodes
- Other Technician
- Phoenix, AZ
National Provider Identifier
1336926104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 2748575
- Practice address
- 18635 N 35TH Ave Ste 109
Phoenix, AZ 85027-6183 - Phone
- (623) 455-9807
- Fax
- (623) 248-6729
- NPI assigned
- Sep 13, 2023
- Last updated
- Nov 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 2748575 | AZ | Primary |
Addresses
Primary practice location
18635 N 35TH Ave Ste 109
Phoenix, AZ 85027-6183
Mailing address
18635 N 35TH Ave Ste 109
Phoenix, AZ 85027-6183
Phone (623) 455-9807
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 |
|---|---|---|---|
| 2748575 | AZ | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dot Testing LLC | Technician, Other | Current | Accepting new patients |
Locations
18635 N 35th Ave
Ste 109
Phoenix, AZ 85027
Phone (623) 455-9807
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1336926104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18635 N 35TH AVE STE 109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850276183",
"telephone_number": "623-455-9807",
"fax_number": "623-248-6729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18635 N 35TH AVE STE 109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850276183",
"telephone_number": "623-455-9807",
"fax_number": "623-248-6729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "CHARMAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-13",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "AZ",
"license": "2748575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.