Individual provider Active NPI

Eugene Yong Rhee, DDS

  • General Practice Dentistry
  • Palm Coast, FL
National Provider Identifier
1699941690
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0012777 Issued in FL
Practice address
7 Boulder Rock Dr Ste 3
Palm Coast, FL 32137-8547
Phone
(386) 446-9050
Fax
(386) 446-1192
NPI assigned
Apr 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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 DN0012777 FL Primary

Addresses

Primary practice location

7 Boulder Rock Dr Ste 3
Palm Coast, FL 32137-8547

Mailing address

7 Boulder Rock Dr Ste 3
Palm Coast, FL 32137-8547
Phone (386) 446-9050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN0012777FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1699941690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BOULDER ROCK DR STE 3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378547",
            "telephone_number": "386-446-9050",
            "fax_number": "386-446-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BOULDER ROCK DR STE 3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378547",
            "telephone_number": "386-446-9050",
            "fax_number": "386-446-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEE",
        "first_name": "EUGENE",
        "middle_name": "YONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.