Organization Active NPI

R.D. Rodig DDS, a Professional Dental Corporation

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1184227357
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
R.D. RODIG DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
2937 Veneman Ave Ste A201
Modesto, CA 95356-0681
Phone
(209) 524-5044
Fax
(209) 633-4242
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Dr. Ross Rodig, DDSNPI 1568594679
Title
President
Phone
(209) 605-1138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2937 Veneman Ave Ste A201
Modesto, CA 95356-0681

Mailing address

2937 Veneman Ave Ste A201
Modesto, CA 95356-0681
Phone (209) 524-5044

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1184227357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 VENEMAN AVE STE A201",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953560681",
            "telephone_number": "209-524-5044",
            "fax_number": "209-633-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 VENEMAN AVE STE A201",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953560681",
            "telephone_number": "209-524-5044",
            "fax_number": "209-633-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.D. RODIG DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "RODIG",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-605-1138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.