Active NPI
CHI Y Rha, D.D.S
- General Practice Dentistry
- Brownsville, TX
National Provider Identifier
1376649616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18650
- Practice address
- 1301 Los Ebanos
BLDG. D
Brownsville, TX 78520 - Phone
- (956) 541-7766
- NPI assigned
- Sep 15, 2006
- Last updated
- Jan 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18650 | TX | Primary |
| General Practice Dentistry | 1223G0001X | 51686 | CA |
Addresses
Primary practice location
1301 Los Ebanos
BLDG. D
Brownsville, TX 78520
Mailing address
5462 Autumn Mist
Brownsville, TX 78526
Phone (956) 541-1016
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B1865001 | Other | TX | CHIP |
| G6026701 | Other | TX | CHIP |
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 |
|---|---|---|---|
| 18650 | TX | MD | Mental Health Counselor |
| 51686 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brownsville Dentists, P.a | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Brownsville, TX
- NPI 1790962611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1376649616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5462 AUTUMN MIST",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "78526",
"telephone_number": "956-541-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 LOS EBANOS",
"address_2": "BLDG. D",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "78520",
"telephone_number": "956-541-7766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHA",
"first_name": "CHI",
"middle_name": "Y",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "18650",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "51686",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP",
"identifier": "B1865001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP",
"identifier": "G6026701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.