Rodherick Hu, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D11062 Issued in OR

Practice address

1210 Fulton Ave
Coos Bay, OR 97420-2813

Phone

(347) 558-5530

NPI assigned

Sep 12, 2011

Last updated

Dec 19, 2019By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Hu Smiles Dental Corporation

  • Dentist
  • Rocklin, CA
  • NPI 1477234169
  NPD Authorized official

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1154603652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 FULTON AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202813",
            "telephone_number": "347-558-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 FULTON AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202813",
            "telephone_number": "347-558-5530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 S Post Oak Ln",
            "address_2": "Apt 208",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770561448",
            "country_code": "US",
            "telephone_number": "347-558-5530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HU",
        "first_name": "RODHERICK",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60517",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30429",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared R Houser, PT
• Shana Howard, MSW
• Jeremy Howell, LCSW
• Jessica Ashley Howell, PSS
• Jenny Howland
• Benjamin Keith Huff, DMD
• Celyn Ijeoma Hughes, FNP-BC, RN
• Sean Timothy Huling, CSWA
• Hsiang-Neng Hung, FNP
• Charles Gerard Hurbis, M.D.

• Dentist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.