Individual provider Active NPI

Neale Edward Rhea Jr., DMD

  • General Practice Dentistry
  • Hoover, AL
National Provider Identifier
1497954986
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4403 Issued in AL
Practice address
2642 Old Rocky Ridge Rd
Hoover, AL 35216-4806
Phone
(205) 987-1611
Fax
(205) 987-1614
NPI assigned
Jul 13, 2007
Last updated
Apr 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4403ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Boutique LLC PastSince Feb 1, 2022 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.

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.