Individual provider Active NPI

Nicholas Rodo, DDS

  • Dentist
  • Orchard Park, NY
National Provider Identifier
1548222722
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
039147 Issued in NY
Practice address
2799 Southwestern Blvd
Smile Design Dentistry
Orchard Park, NY 14217
Phone
(716) 675-2900
Fax
(716) 675-1262
NPI assigned
Apr 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 039147 NY Primary

Addresses

Primary practice location

2799 Southwestern Blvd
Smile Design Dentistry
Orchard Park, NY 14217

Mailing address

2799 Southwestern Blvd
Smile Design Dentistry
Orchard Park, NY 14127
Phone (716) 675-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190715001616 NY Order and Referring Only - DentistPractitioner - Dentist 7911232871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039147NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548222722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 SOUTHWESTERN BLVD",
            "address_2": "SMILE DESIGN DENTISTRY",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-675-2900",
            "fax_number": "716-675-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 SOUTHWESTERN BLVD",
            "address_2": "SMILE DESIGN DENTISTRY",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-675-2900",
            "fax_number": "716-675-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODO",
        "first_name": "NICHOLAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "039147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.