Kevin Manuel Rodriguez-Lichtenberg, DDS, MPH

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401417104 Issued in VA

Practice address

6661 Lake Harbour Dr
Midlothian, VA 23112-2082

Phone

(804) 729-0792

NPI assigned

Feb 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Kevin Manuel Rodriguez Santos Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: krodraguezlichtenberg368345@mhsdirect.net

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.

• Pediatric Dental Specialists of Hampton

  • Dental Clinic/Center
  • Hampton, VA
  • NPI 1720520794
  NPD (past)

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1790318152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6661 LAKE HARBOUR DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6661 LAKE HARBOUR DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122082",
            "telephone_number": "804-729-0792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 Bulifants Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885733",
            "country_code": "US",
            "telephone_number": "757-903-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-LICHTENBERG",
        "first_name": "KEVIN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN28821",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401417104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122877100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "RODRIGUEZ SANTOS",
            "middle_name": "MANUEL",
            "prefix": "DR.",
            "credential": "DDS, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Virginia Machree Robinson, BCABA
• Robious Health & Rehab Center, LLC
• Rockwell Physicians of Salisbury
• Kelsey Rodeffer
• Tyler Matthew Rodriguez Lichtenberg, NP
• Brianna M Rodriguez, PMHNP-BC
• Roger E Wood Nicholas C Lombardozzi DDS PC
• Aimee K Rogers, CPNP
• Dale C Rogers, DDS
• Stephanie Rogers, FNP

• Pediatric Dentistry in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.