Individual provider Active NPI

Thilani Manjula Rodrigo, DDS

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1295013407
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-023541 Issued in OH
Practice address
4044 Morse Rd
Columbus, OH 43230-1448
Phone
(614) 473-0400
NPI assigned
Jul 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-023541 OH Primary

Addresses

Primary practice location

4044 Morse Rd
Columbus, OH 43230-1448

Mailing address

3931 Oakpark PL
Cincinnati, OH 45209-2119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20121015000207 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0941450639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-023541OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Services of Ohio Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1295013407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 OAKPARK PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4044 MORSE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301448",
            "telephone_number": "614-473-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGO",
        "first_name": "THILANI",
        "middle_name": "MANJULA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.