Individual provider Active NPI

Rhonda Onnebane Halder, D.D.S.

  • General Practice Dentistry
  • Metairie, LA
National Provider Identifier
1871625632
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5279 Issued in LA
Practice address
4432 Chastant St
Metairie, LA 70006-2054
Phone
(504) 885-0467
Fax
(504) 885-0468
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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 5279 LA Primary

Addresses

Primary practice location

4432 Chastant St
Metairie, LA 70006-2054

Mailing address

4432 Chastant St
Metairie, LA 70006-2054
Phone (504) 885-0467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20170410000100 LA Order and Referring Only - DentistPractitioner - Dentist 7810273760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5279LAMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Halder Creative Smiles Dental Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1871625632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 CHASTANT ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062054",
            "telephone_number": "504-885-0467",
            "fax_number": "504-885-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 CHASTANT ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062054",
            "telephone_number": "504-885-0467",
            "fax_number": "504-885-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDER",
        "first_name": "RHONDA",
        "middle_name": "ONNEBANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.