Active NPI
Melissa Maria Rodas, D.D.S
- Dentist
- Huntington Beach, CA
National Provider Identifier
1447563226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 59437
- Practice address
- 19581 Pompano LN Unit 103
Huntington Beach, CA 92648-6407 - Phone
- (310) 227-7339
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 59437 | CA | Primary |
Addresses
Primary practice location
19581 Pompano LN Unit 103
Huntington Beach, CA 92648-6407
Mailing address
19581 Pompano LN Unit 103
Huntington Beach, CA 92648-6407
Phone (310) 227-7339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160506000337 | CA | Order and Referring Only - Other (Physician) | 7416256870 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1447563226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19581 POMPANO LN UNIT 103",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926486407",
"telephone_number": "310-227-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19581 POMPANO LN UNIT 103",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926486407",
"telephone_number": "310-227-7339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODAS",
"first_name": "MELISSA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.