Edward F Rod Jr., D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12382 Issued in TX

Practice address

2929 Calder St
#302
Beaumont, TX 77702-1845

Phone

(409) 832-2532

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edward F Rod Jr, DDS, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Beaumont, TX
  • NPI 1366511339
  NPD (past) Authorized official
• Greater Beaumont Oral & Maxillofacial Surgery, PA

  • Oral and Maxillofacial Surgery Clinic/Center
  • Beaumont, TX
  • NPI 1790199461
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1174521843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST",
            "address_2": "#302",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021845",
            "telephone_number": "409-832-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST",
            "address_2": "#302",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021845",
            "telephone_number": "409-832-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROD",
        "first_name": "EDWARD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "12382",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "12382",
            "primary": true
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "TX",
            "license": "12382",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "12382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Carlton Robinson, MD
• Robert Obie Robinson, M.D.
• Tarasha Robinson, LCPC, CCD, ICCC
• Mandy D Roccaforte, M.S. CCC-SLP
• Jeffrey Alan Roche, PHYSICAL THERAPIST
• Sean Michael Roden, D.C., B.S., CCSP
• Myrna Cruz Roderick, NURSE PRACTITIONER
• Lynn Smith Rodgers, MS, LPC
• Grigoriy Tsotneevich Rodonaia, M.D. PA
• Ofelia Rodriguez Sierra, PTA

• Oral and Maxillofacial Surgery (Dentist) in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.