Rhea Theresa Coronel Antolin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25428 Issued in TX

Practice address

105 Country View Dr Ste 300
Roanoke, TX 76262

Phone

(682) 237-2353

Fax

(682) 237-2352

NPI assigned

Jun 10, 2010

Last updated

May 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Antolin-Sanchez Dental Group PLLC

  • General Practice Dentistry
  • Roanoke, TX
  • NPI 1154810240
  NPD

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1396065504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COUNTRY VIEW DR STE 300",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762622057",
            "telephone_number": "682-237-2353",
            "fax_number": "682-237-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COUNTRY VIEW DR STE 300",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "76262",
            "telephone_number": "682-237-2353",
            "fax_number": "682-237-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOLIN",
        "first_name": "RHEA THERESA",
        "middle_name": "CORONEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amal Almatroud
• Angela Alvarez
• Always Hospice Inc
• Jonathan Angwin, D.D.S.
• Antolin-Sanchez Dental Group PLLC
• Roddrick Keith Armwood
• Amanda Kay Attaway
• Babies and Bellies Family Chiropractic PLLC (Alignform Chiropractic)
• Kimberley Anne Baker, D.D.S.
• Adia Banks, LCSW

• General Practice Dentistry in Roanoke, TX
• Providers in Roanoke, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.