Ray Richard Rodig, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31851 Issued in CA

Practice address

2937 Veneman Ave Ste A201
Modesto, CA 95356-0681

Phone

(209) 524-5044

Fax

(209) 524-5064

NPI assigned

Sep 18, 2007

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

Not listed in the public Medicare enrollment file

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.

• Ray R Rodig DDS, a Dental Corporation

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1396963633
  NPD (past) Authorized official
• R.D. Rodig DDS, a Professional Dental Corporation

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1184227357
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1508052184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 VENEMAN AVE STE A201",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953560681",
            "telephone_number": "209-524-5044",
            "fax_number": "209-524-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 VENEMAN AVE STE A201",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953560681",
            "telephone_number": "209-524-5044",
            "fax_number": "209-524-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIG",
        "first_name": "RAY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Rodenburg
• Hannah Joy Rodens
• Keri Berbena Rodgers, RN
• Melissa Marie Rodgers, M.D.
• Monica Rodgers
• Guadalupe Rodrigez
• Karla Cecilia Rodrigues Salas
• Bianca Rodriguez Alvarez
• Lizbeth Rodriguez Cardenas
• Maria Cristina Rodriguez de Alvarez, M.S. CF-SLP

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, 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 Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.