Individual provider Active NPI

Brandon M Rhim

  • Dentist
  • Whiting, IN
National Provider Identifier
1821776741
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12014879A Issued in IN
Practice address
1730 Calumet Ave
Whiting, IN 46394-1415
Phone
(219) 659-2776
NPI assigned
Jul 10, 2023
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12014879A IN Primary

Addresses

Primary practice location

1730 Calumet Ave
Whiting, IN 46394-1415

Mailing address

1730 Calumet Ave
Whiting, IN 46394-1415

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
12014879AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chang W Rhim DDS Inc CurrentSince Nov 18, 2025 Accepting new patients

Locations

1730 Calumet Ave
Whiting, IN 46394
Phone (219) 659-2776

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1821776741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 CALUMET AVE",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 CALUMET AVE",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941415",
            "telephone_number": "219-659-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHIM",
        "first_name": "BRANDON",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014879A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.