Individual provider Active NPI

Olivia Madeline Rodrigues, D.D.S.

  • General Practice Dentistry
  • North Highlands, CA
National Provider Identifier
1770676470
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30865 Issued in CA
Practice address
7471 Watt Ave
Suite 107a
North Highlands, CA 95660-2632
Phone
(916) 331-1211
Fax
(916) 331-1287
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30865 CA Primary

Addresses

Primary practice location

7471 Watt Ave
Suite 107a
North Highlands, CA 95660-2632

Mailing address

7471 Watt Ave
Suite 107a
North Highlands, CA 95660-2632
Phone (916) 331-1211

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151013000930 CA Order and Referring Only - DentistPractitioner - Dentist 2163731233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Olivia M. Rodrigues, DDS, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: orodrigues769774@direct.ochin.org

Organizations & group practices 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770676470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7471 WATT AVE",
            "address_2": "SUITE 107A",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956602632",
            "telephone_number": "916-331-1211",
            "fax_number": "916-331-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7471 WATT AVE",
            "address_2": "SUITE 107A",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956602632",
            "telephone_number": "916-331-1211",
            "fax_number": "916-331-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "OLIVIA",
        "middle_name": "MADELINE",
        "name_prefix": "Ms.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Highlands, CA

Sources for this page

Verify at the official NPI Registry.