Rodrigo Vallar, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

13083 Issued in MD

Practice address

8615 Ridgelys Choice Dr
Suite 209
Nottingham, MD 21236-3026

Phone

(410) 248-0025

NPI assigned

Mar 22, 2006

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

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.

Opted out of Medicare

Yes, effective Feb 24, 2022 through Feb 24, 2028

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 and National Provider Directory roles.

• Dental Associates L.L.C.

  • General Practice Dentistry
  • Westminster, MD
  • NPI 1205805801
  NPD (past)
• Premier Dental Partners, LLC

  • General Practice Dentistry
  • Nottingham, MD
  • NPI 1699960724
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351900800000",
    "number": "1740249390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 RIDGELYS CHOICE DR",
            "address_2": "SUITE 209",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363026",
            "telephone_number": "410-248-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 RIDGELYS CHOICE DR",
            "address_2": "SUITE 209",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363026",
            "telephone_number": "410-248-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLAR",
        "first_name": "RODRIGO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2012-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Umana
• United Hearts Adult Medical Daycare
• United Hearts Adult Medical Daycare, LLC
• Cureema K Uzzell
• Hannah Marie Vaca, DPT
• Siga Vaskys, CRNP
• Courtney Marie Vaughan, LCSW-C
• Smita N Vazarkar, MD
• Lisa Frances Veselovsky, D.M.D.
• Tina M Vest, PMHNP-BC

• Dentist in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.