Active NPI
James A. Rinehimer, D.D.S.
- General Practice Dentistry
- Pocono Lake, PA
National Provider Identifier
1629130364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DSO19713L
- Practice address
- HC 87 Box 109a Route 940
Village Park Center
Pocono Lake, PA 18347 - Phone
- (570) 646-9444
- Fax
- (570) 646-6878
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DSO19713L | PA | Primary |
Addresses
Primary practice location
HC 87 Box 109a Route 940
Village Park Center
Pocono Lake, PA 18347
Mailing address
HC 87 Box 109a Route 940
Village Park Center
Pocono Lake, PA 18347
Phone (570) 646-9444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20150617002379 | PA | Order and Referring Only - Oral Surgery | 6204147226 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DSO19713L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629130364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 87 BOX 109A ROUTE 940",
"address_2": "VILLAGE PARK CENTER",
"city": "POCONO LAKE",
"state": "PA",
"postal_code": "18347",
"telephone_number": "570-646-9444",
"fax_number": "570-646-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 87 BOX 109A ROUTE 940",
"address_2": "VILLAGE PARK CENTER",
"city": "POCONO LAKE",
"state": "PA",
"postal_code": "18347",
"telephone_number": "570-646-9444",
"fax_number": "570-646-6878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINEHIMER",
"first_name": "JAMES",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DSO19713L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocono Lake, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.