Rodrick Heath Deason, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN15641 Issued in FL

Practice address

207 Pelham Rd
Fort Walton Beach, FL 32547-3604

Phone

(850) 863-3636

Fax

(850) 863-3639

NPI assigned

Jul 18, 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 4, 2016 through Aug 4, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174542401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PELHAM RD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473604",
            "telephone_number": "850-863-3636",
            "fax_number": "850-863-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PELHAM RD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473604",
            "telephone_number": "850-863-3636",
            "fax_number": "850-863-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEASON",
        "first_name": "RODRICK",
        "middle_name": "HEATH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN15641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew De Cotis, FNP-C
• Margherita Graziosa De Moya, DDS
• Victor De Moya, M.D.
• David Joseph Dean, D.O.
• Kristen Dean, PA-C
• Diana Marie Decotis Smith, M.D.
• Anthony Decotis, M.D.
• Francis C.F. Decroos, MD
• Erica Dees
• Jada Rain Delancey

• Endodontics in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Endodontics in Florida

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.