Individual provider Active NPI

Rodney Jene Gold, DDS

  • Dentist
  • Tucson, AZ
National Provider Identifier
1346256252
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D3398 Issued in AZ
Practice address
899 N Wilmot
Ste a-2
Tucson, AZ 85711-1712
Phone
(520) 790-9100
Fax
(520) 790-0809
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D3398 AZ Primary

Addresses

Primary practice location

899 N Wilmot
Ste a-2
Tucson, AZ 85711-1712

Mailing address

899 N Wilmot
Ste a-2
Tucson, AZ 85711-1712
Phone (520) 790-9100

Other identifiers 1

IdentifierTypeStateIssuer
092578OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D3398AZMDDentist
3398AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kino Dental Group General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rgold636627@direct.ochin.org

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346256252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 N WILMOT",
            "address_2": "STE A-2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111712",
            "telephone_number": "520-790-9100",
            "fax_number": "520-790-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 N WILMOT",
            "address_2": "STE A-2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111712",
            "telephone_number": "520-790-9100",
            "fax_number": "520-790-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "RODNEY",
        "middle_name": "JENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D3398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "092578",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.