Timothy John Rodgers, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11217 Issued in TX

Practice address

1200 Highway 146 S
Suite 255
La Porte, TX 77571-6131

Phone

(281) 471-3066

Fax

(281) 471-8492

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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 Oct 3, 2016 through Oct 3, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770693715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HIGHWAY 146 S",
            "address_2": "SUITE 255",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716131",
            "telephone_number": "281-471-3066",
            "fax_number": "281-471-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGHWAY 146 S",
            "address_2": "SUITE 255",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716131",
            "telephone_number": "281-471-3066",
            "fax_number": "281-471-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Phyllis Ressel, PTA
• Barbara Gail Reynolds, RNFA, CNOR
• Richard J. Helmle, D.D.S. PC
• Ashley Ann Riley, LVN
• Yanelli Rios
• Jennifer Rodriguez Velez, LCSW
• Karen Yamili Rosas
• Adise Marie Roubleau, PHARM D
• Sage Dental-Deer Park PLLC
• Hemanth Kumar Samuel, D.D.S

• General Practice Dentistry in La Porte, TX
• Providers in La Porte, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.