Rick J. Roden, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15664 Issued in TX

Practice address

129 W 5TH St
Hereford, TX 79045-5202

Phone

(806) 364-2213

Fax

(806) 364-1091

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rick Roden DDS Inc

  • General Practice Dentistry
  • Hereford, TX
  • NPI 1700965431
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144329897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W 5TH ST",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790455202",
            "telephone_number": "806-364-2213",
            "fax_number": "806-364-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W 5TH ST",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790455202",
            "telephone_number": "806-364-2213",
            "fax_number": "806-364-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEN",
        "first_name": "RICK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip W. Jansen
• David J Purdy, DDS
• Regence Health Network Inc
• Rick Roden DDS Inc
• Tiffany Cheyenne Rickman
• Trevor Rohm, MD
• Genie Salcido, PA-C
• Rita San Miguel
• Patsy Sanchez, LBSW
• Laura Ann Schenk, PHARMD

• General Practice Dentistry in Hereford, TX
• Providers in Hereford, TX by specialty
• General Practice Dentistry in Texas

• 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.

Verify at the official NPI Registry.