Active NPI
Michael A Rodriguez, DDS
- General Practice Dentistry
- Bieber, CA
National Provider Identifier
1093976185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32760
- Practice address
- 554-850 Medical Center Drive
Bieber, CA 96009-0277 - Phone
- (530) 294-5629
- Fax
- (530) 294-5392
- NPI assigned
- Jun 20, 2008
- Last updated
- Dec 5, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 32760 | CA | Primary |
Addresses
Primary practice location
554-850 Medical Center Drive
Bieber, CA 96009-0277
Mailing address
PO Box 277
554-850 Medical Center Drive
Bieber, CA 96009-0277
Phone (530) 294-5629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Univ of Calif, San Francisco School of Dentistry, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
535 Airport Rd
Hoopa, CA 95546-9615
PO Box
Suite 1288
Hoopa, CA 95546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32760 | CA | MD | General Practice Dentistry |
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.
-
- Clinic/Center
- Hoopa, CA
- NPI 1306904222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386201600000",
"number": "1093976185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 277",
"address_2": "554-850 MEDICAL CENTER DRIVE",
"city": "BIEBER",
"state": "CA",
"postal_code": "960090277",
"telephone_number": "530-294-5629",
"fax_number": "530-294-5392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554-850 MEDICAL CENTER DRIVE",
"city": "BIEBER",
"state": "CA",
"postal_code": "960090277",
"telephone_number": "530-294-5629",
"fax_number": "530-294-5392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-20",
"last_updated": "2013-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "32760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bieber, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.