THERESA RODEGHERO DMD
NPI 1205611670
Dentist in Clearwater, FL

Active since August 25, 2023Opted out of Medicare · through Mar 28, 2027
215 S MYRTLE AVE, CLEARWATER, FL 33756(727) 442-3363 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Theresa Rodeghero Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA RODEGHERO DMD (NPI 1205611670) is an individual dentist in Clearwater, Florida, licensed in Florida (DN28481) and active in the NPI registry since August 2023. She has opted out of Medicare through March 28, 2027.

NPPES Registry Identity

NPI1205611670
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameTHERESA RODEGHEROCredential: DMD
Location Address215 S MYRTLE AVEClearwater, FL 33756-5521
Mailing Address215 S Myrtle AveClearwater, FL 33756-5521 · (727) 442-3363
Sole ProprietorYes
Enumeration DateAugust 25, 2023
NPPES CertifiedAugust 25, 2023
NPI 1205611670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in FL · DN28481
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
215 S MYRTLE AVE, Clearwater, FL 33756

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Theresa Rodeghero Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 28, 2025 through March 28, 2027.

Opt-Out Effective DateMarch 28, 2025
Opt-Out In Effect ThroughMarch 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
215 S MYRTLE AVE
CLEARWATER, FL 33756

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Rodeghero's NPI number?

The NPI number for Theresa Rodeghero is 1205611670. It was assigned to this individual provider in the NPPES registry on August 25, 2023.

Where is Theresa Rodeghero located?

Theresa Rodeghero practices at 215 S Myrtle Ave, Clearwater, FL 33756. The listed phone number is (727) 442-3363.

What is Theresa Rodeghero's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Theresa Rodeghero enrolled in Medicare?

No. Theresa Rodeghero has opted out of Medicare through March 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Theresa Rodeghero was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.