Raymond G Rodriguez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36695 Issued in CA

Practice address

696 Walnut Ave Ste 1
Greenfield, CA 93927-4928

Phone

(831) 674-5501

NPI assigned

Nov 29, 2005

Last updated

Mar 7, 2023By the provider in NPPES

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

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ernesto Mireles, DDS

  • Dentist
  • Salinas, CA
  • NPI 1396003570
  NPD (past)
• Greenfield & Salinas Dental Group

  • Dentist
  • Greenfield, CA
  • NPI 1003178609
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467435073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E BORONDA RD STE B",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063129",
            "telephone_number": "831-443-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 WALNUT AVE STE 1",
            "city": "GREENFIELD",
            "state": "CA",
            "postal_code": "939274928",
            "telephone_number": "831-674-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAYMOND",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guillermo Perez, P.A.
• Psynergy Programs, Inc. (Psynergy - Greenfield)
• Psynergy Programs, Inc. (Cielo Vista)
• Eduardo Nuci Ramos
• Candelaria Yharline Retamosa
• Eduardo Ruiz Vasquez
• Anna Maria L Salazar, NURSE PRACTITIONER
• Salud Para la Gente (SPLG-Community Oral Health Service(Fixed Trailer-#1))
• Emy Sanchez
• Jessica Elise Schneider, PA-C

• General Practice Dentistry in Greenfield, CA
• Providers in Greenfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.