Rhoda Moten

Primary specialty

SpecialistTaxonomy code 174400000X

License

CL0238165 Issued in FL

Practice address

337 Beville Rd
South Daytona, FL 32119-2158

Phone

(386) 453-4909

NPI assigned

Dec 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Back to Me LLC

  • Specialist
  • South Daytona, FL
  • NPI 1538915392
  NPD Authorized official
• Transformations Hair Salon

  • Prosthetic/Orthotic Supplier
  • South Daytona, FL
  • NPI 1679939615
  NPD (past) Authorized official
• Transformations Mane Focus, Inc.

  • Prosthetic/Orthotic Supplier
  • South Daytona, FL
  • NPI 1659813111
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1659746998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 S NOVA RD STE A127",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321198841",
            "telephone_number": "386-453-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 BEVILLE RD",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192158",
            "telephone_number": "386-453-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTEN",
        "first_name": "RHODA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-12",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "CL1310178",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "CL0238165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindensity Holdings LLC
• Sara A Mitchell
• Mobility Products Unlimited LLC
• Amy Monroe
• Alexander Moran
• Julie Elizabeth Moye
• Deborah Ashley Mullin, CCC-SLP
• Michael Vincent Murphy, D.M.D.
• My Chiropractor of South Daytona Inc
• Rachel Nakayama, DC

• Specialist in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.