Individual provider Active NPI

Rodrigo Neiva, DDS, MS

  • Periodontics
  • Webster, TX
National Provider Identifier
1457485229
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
42214 Issued in TX
Practice address
13810 John Audubon Pkwy Ste C
Webster, TX 77598-3864
Phone
(281) 286-0056
NPI assigned
Mar 15, 2007
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X TP537 FL
Dentist 122300000X RFD000046 PA
Dentist 122300000X 2901018582 MI
Periodontics 1223P0300X 2901018582 MI
Periodontics 1223P0300X TP537 FL
Periodontics 1223P0300X 42214 TX Primary

Addresses

Primary practice location

13810 John Audubon Pkwy Ste C
Webster, TX 77598-3864

Mailing address

13810 John Audubon Pkwy Ste C
Webster, TX 77598-3864
Phone (281) 286-0056

Other practice location 1

2000 25th Ave N Ste 101
Texas City, TX 77590-5280
Phone (409) 945-6888

Other practice location 2

5858 Westheimer Rd Ste 820
Houston, TX 77057-5648
Phone (713) 784-6065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160407000740 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0648323741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
RFD000046PAMDDentist
TP537FLMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Perio & Implants Periodontics PastSince Apr 6, 2025 Accepting new patients
Regents of the University of Michigan Dental Faculty Associates Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1457485229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13810 JOHN AUDUBON PKWY STE C",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983864",
            "telephone_number": "281-286-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 JOHN AUDUBON PKWY STE C",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983864",
            "telephone_number": "281-286-0056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 25th Ave N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Texas City",
            "state": "TX",
            "postal_code": "775905280",
            "country_code": "US",
            "telephone_number": "409-945-6888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5858 Westheimer Rd Ste 820",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770575648",
            "country_code": "US",
            "telephone_number": "713-784-6065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIVA",
        "first_name": "RODRIGO",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "TP537",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "RFD000046",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018582",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901018582",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "TP537",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "42214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.