Active NPI
Calvin Andrew Rhoads, DMD
- Public Health Dentistry
- Haines, AK
National Provider Identifier
1518587484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 10651
- Practice address
- 216 Dalton Street
Suite 102
Haines, AK 99827 - Phone
- (907) 766-6372
- Fax
- (907) 766-2581
- NPI assigned
- Apr 21, 2020
- Last updated
- Jul 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10651 | KY | |
| Public Health Dentistry | 1223D0001X | 10651 | KY | Primary |
Addresses
Primary practice location
216 Dalton Street
Suite 102
Haines, AK 99827
Mailing address
PO Box 1529
Haines, AK 99827-1529
Phone (907) 766-6372
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | crhoads@searhc.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201110001519 | OR | Order and Referring Only - Dentist | 5092125641 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10651 | KY | MD | Dentist |
Interoperability endpoints
- crhoads@searhc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1518587484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1529",
"city": "HAINES",
"state": "AK",
"postal_code": "998271529",
"telephone_number": "907-766-6372",
"fax_number": "907-766-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 DALTON STREET",
"address_2": "SUITE 102",
"city": "HAINES",
"state": "AK",
"postal_code": "99827",
"telephone_number": "907-766-6372",
"fax_number": "907-766-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADS",
"first_name": "CALVIN",
"middle_name": "ANDREW",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-21",
"last_updated": "2022-07-06",
"certification_date": "2022-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "10651",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "KY",
"license": "10651",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "crhoads@searhc.org",
"affiliation": "N",
"endpointDescription": "Institutional Email",
"address_1": "216 Dalton Street",
"address_2": "Suite 102",
"city": "Haines",
"state": "AK",
"country_code": "US",
"postal_code": "99827",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Haines, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.