Active NPI
Neale Edward Rhea Jr., DMD
- General Practice Dentistry
- Hoover, AL
National Provider Identifier
1497954986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4403
- Practice address
- 2642 Old Rocky Ridge Rd
Hoover, AL 35216-4806 - Phone
- (205) 987-1611
- Fax
- (205) 987-1614
- NPI assigned
- Jul 13, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4403 | AL | Primary |
Addresses
Primary practice location
2642 Old Rocky Ridge Rd
Hoover, AL 35216-4806
Mailing address
2642 Old Rocky Ridge Rd
Hoover, AL 35216-4806
Phone (205) 987-1611
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510 30040 | Other | AL | BLUE CROSS BLUE SHIELD |
| 009933148 | Medicaid | AL | |
| 709254 | Other | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Boutique LLC | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Vestavia Hills, AL
- NPI 1962154484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1497954986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2642 OLD ROCKY RIDGE RD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352164806",
"telephone_number": "205-987-1611",
"fax_number": "205-987-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2642 OLD ROCKY RIDGE RD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352164806",
"telephone_number": "205-987-1611",
"fax_number": "205-987-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEA",
"first_name": "NEALE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "4403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "510 30040",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009933148",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "709254",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.