Active NPI
Rodney C. Lippert, DMD
- General Practice Dentistry
- Milwaukie, OR
National Provider Identifier
1003989435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D4340
- Practice address
- 7000 SE Thiessen Rd
Milwaukie, OR 97267-2042 - Phone
- (503) 659-1826
- Fax
- (503) 659-1826
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D4340 | OR | Primary |
Addresses
Primary practice location
7000 SE Thiessen Rd
Milwaukie, OR 97267-2042
Mailing address
7000 SE Thiessen Rd
Milwaukie, OR 97267-2042
Phone (503) 659-1826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160304000416 | OR | Order and Referring Only - Dentist | 3072819804 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4340 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003989435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 SE THIESSEN RD",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972672042",
"telephone_number": "503-659-1826",
"fax_number": "503-659-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 SE THIESSEN RD",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972672042",
"telephone_number": "503-659-1826",
"fax_number": "503-659-1826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPERT",
"first_name": "RODNEY",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D4340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukie, OR
- Catlin Spears Lind, PHARM D
- Barbara Zifer Lindberg, OTRL
- Erik Sandford Lindgren, PT PHYSICAL THERAPIS
- Melissa Bea Lindley
- Debra S Lines, PHYSICAL THERAPIST A
- Sondra Kay Lippert, COTA
- Maggie Sojourner Little-Reece, LMT
- Steven Liverman
- Helen Joy Livingston, DPT
- Michelle Ann Loewen, SPEECH LANGUAGE PATH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.