Active NPI
Wellington Jose Rody Jr., D.D.S
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pittsburgh, PA
National Provider Identifier
1811269657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 000096-1
- Practice address
- 3501 Terrace Street
Suite 3189
Pittsburgh, PA 15261-2523 - Phone
- (412) 648-9100
- NPI assigned
- Feb 8, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 000096-1 | NY | Primary |
Addresses
Primary practice location
3501 Terrace Street
Suite 3189
Pittsburgh, PA 15261-2523
Mailing address
3501 Terrace St
Pittsburgh, PA 15213-2523
Phone (412) 648-9100
Other practice location 1
3501 Terrace St
Pittsburgh, PA 15213-2523
Phone (412) 648-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160311000287 | FL | Order and Referring Only - Dentist | 6204132624 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000096-1 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Dental Health Services, Inc. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Pittsburgh, PA
- NPI 1194788653
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1811269657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 TERRACE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132523",
"telephone_number": "412-648-9100",
"fax_number": "412-383-7862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 TERRACE STREET",
"address_2": "SUITE 3189",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152612523",
"telephone_number": "412-648-9100"
}
],
"practiceLocations": [
{
"address_1": "3501 Terrace St",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152132523",
"country_code": "US",
"telephone_number": "412-648-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODY",
"first_name": "WELLINGTON",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-08",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "000096-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.