Individual provider Active NPI

Kevin Rhodes, D.D.S.

  • Dentist
  • Round Rock, TX
National Provider Identifier
1497732150
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22221 Issued in TX
Practice address
3401 Royal Vista Blvd Ste a-102
Round Rock, TX 78681-1149
Phone
(512) 310-2000
Fax
(512) 310-2003
NPI assigned
Dec 23, 2005
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22221 TX Primary

Addresses

Primary practice location

3401 Royal Vista Blvd Ste a-102
Round Rock, TX 78681-1149

Mailing address

3401 Royal Vista Blvd Ste a-102
Round Rock, TX 78681-1149
Phone (512) 310-2000

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1497732150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 ROYAL VISTA BLVD STE A-102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811149",
            "telephone_number": "512-310-2000",
            "fax_number": "512-310-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ROYAL VISTA BLVD STE A-102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811149",
            "telephone_number": "512-310-2000",
            "fax_number": "512-310-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "KEVIN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; 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.