Roderick Lee McBride, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

31497 Issued in CA

Practice address

890 Sunset Dr
B-1a
Hollister, CA 95023-5651

Phone

(831) 636-9808

Fax

(831) 636-9843

NPI assigned

Jun 30, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rick L McBride Other name

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

Yes, effective Apr 24, 2013 through Apr 24, 2027

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• McBride & Wittenberg, a Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Hollister, CA
  • NPI 1083600365
  NPD (past) Authorized official

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1316234149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 SUNSET DR",
            "address_2": "B-1A",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235651",
            "telephone_number": "831-636-9808",
            "fax_number": "831-636-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 SUNSET DR",
            "address_2": "B-1A",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235651",
            "telephone_number": "831-636-9808",
            "fax_number": "831-636-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "RODERICK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "31497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICK",
            "last_name": "MCBRIDE",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amitabh Mohan Mathur, MD
• Phylicia Mattos
• Tiffany Mattos
• Gary K. Mayeda, O.D.
• McBride & Wittenberg, a Dental Corporation
• Allen W McClellan
• Michael Clifton McGinnis, M.D.
• Mark Jeff McNown, D.C.
• MD Medical Supplies and Uniforms
• Jessica Meade

• Oral and Maxillofacial Surgery (Dentist) in Hollister, CA
• Providers in Hollister, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.