Rodrigo Fuentealba Hidalgo, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

9131 Issued in KY

Practice address

800 Rose St RM D642
University of Kentucky College of Dentistry
Lexington, KY 40536-0297

Phone

(859) 323-5831

NPI assigned

Oct 16, 2011

Last updated

Jan 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Practice roles

Locations

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.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• University of Kentucky

  dba UK College of Dentistry

  • Dentist
  • Lexington, KY
  • NPI 1306929385
  NPD

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1992080428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST RM D642",
            "address_2": "UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360297",
            "telephone_number": "859-323-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST RM D642",
            "address_2": "UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360297",
            "telephone_number": "859-323-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTEALBA HIDALGO",
        "first_name": "RODRIGO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-16",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9131",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9131",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "KY",
            "license": "9131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100196940",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Frye
• FS Lexington Tenant Trust (Lexington Country Place)
• Angela Fu
• Melanie Mrzljak Fucci, PA
• George J Fuchs III, MD
• Robert Fueston, L.AC.
• Ava Carlisle Fugate, PA-C
• Bryce Channing Fugate, DC
• Donna Fugate, LPCA
• Kaylee Ray Fugate, D.O.

• Prosthodontics in Lexington, KY
• Providers in Lexington, KY by specialty
• Prosthodontics in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.