Individual provider Active NPI

James A. Rinehimer, D.D.S.

  • General Practice Dentistry
  • Pocono Lake, PA
National Provider Identifier
1629130364
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DSO19713L Issued in PA
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

Updated by the provider on Jul 8, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617002379 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6204147226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DSO19713LPAMDGeneral 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

Verify at the official NPI Registry.