Active NPI
Kevin Rhodes, D.D.S.
- Dentist
- San Antonio, TX
National Provider Identifier
1497732150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22221
- Practice address
- 6403 Rambling Trail Dr
San Antonio, TX 78240-5503 - Phone
- (210) 865-3992
- NPI assigned
- Dec 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22221 | TX | Primary |
Addresses
Primary practice location
6403 Rambling Trail Dr
San Antonio, TX 78240-5503
Mailing address
6403 Rambling Trail Dr
San Antonio, TX 78240-5503
Phone (210) 865-3992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174459101 | Medicaid | TX |
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": "1276128000000",
"number": "1497732150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6403 RAMBLING TRAIL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782405503",
"telephone_number": "210-865-3992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6403 RAMBLING TRAIL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782405503",
"telephone_number": "210-865-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "KEVIN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174459101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.