Active NPI
Ian H. Rodd, D.D.S.
- Dentist
- Dana Point, CA
National Provider Identifier
1811140791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40133
- Practice address
- 34177 Pacific Coast Hwy.
Suite 102
Dana Point, CA 92629 - Phone
- (949) 489-3262
- Fax
- (949) 489-3263
- NPI assigned
- Oct 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40133 | CA | Primary |
Addresses
Primary practice location
34177 Pacific Coast Hwy.
Suite 102
Dana Point, CA 92629
Mailing address
34177 Pacific Coast Hwy.
Suite 102
Dana Point, CA 92629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224720000000",
"number": "1811140791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34177 PACIFIC COAST HWY.",
"address_2": "SUITE 102",
"city": "DANA POINT",
"state": "CA",
"postal_code": "92629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34177 PACIFIC COAST HWY.",
"address_2": "SUITE 102",
"city": "DANA POINT",
"state": "CA",
"postal_code": "92629",
"telephone_number": "949-489-3262",
"fax_number": "949-489-3263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODD",
"first_name": "IAN",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-23",
"last_updated": "2008-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dana Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.