Individual provider Active NPI

Angela Rhoades, RDH

  • Dental Hygienist
  • Broomfield, CO
National Provider Identifier
1972725547
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
904329 Issued in CO
Practice address
403 Summit Blvd
Unit 202
Broomfield, CO 80021-8252
Phone
(303) 665-1281
Fax
(303) 464-0705
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 904329 CO Primary

Addresses

Primary practice location

403 Summit Blvd
Unit 202
Broomfield, CO 80021-8252

Mailing address

520 Zang St Ste L
Broomfield, CO 80021-8235
Phone (303) 665-1281

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
904329COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile-Logic, Inc Dental Hygienist CurrentSince Feb 2, 2025 Accepting new patients
Complete Dental Solutions Past Accepting new patients
Ar Rhoades Corp. Dental Hygienist PastSince Mar 13, 2022 Accepting new patients

Locations

520 Zang St
Ste L
Broomfield, CO 80021
Phone (303) 665-1281

Organizations & group practices 3

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1972725547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 ZANG ST STE L",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218235",
            "telephone_number": "303-665-1281",
            "fax_number": "303-464-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SUMMIT BLVD",
            "address_2": "UNIT 202",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218252",
            "telephone_number": "303-665-1281",
            "fax_number": "303-464-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "904329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.