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DR. TYRONE FERNANDO RODRIGUEZ D.D.S.
NPI 1366598880
Dentist - Pediatric Dentistry in Moses Lake, WA

Active since January 26, 2007PECOS Enrolled
825 SHARON AVE E, MOSES LAKE, WA 98837(509) 766-9030 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tyrone Fernando Rodriguez D.d.s. NPPES

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

DR. TYRONE FERNANDO RODRIGUEZ D.D.S. (NPI 1366598880) is an individual pediatric dentistry provider in Moses Lake, Washington, licensed in Washington (DE00010610) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366598880
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. TYRONE FERNANDO RODRIGUEZCredential: D.D.S.
Location Address825 SHARON AVE EMoses Lake, WA 98837-2441
Mailing Address825 E Sharon AveMoses Lake, WA 98837 · (509) 766-9030
Phone(509) 766-9030
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateFebruary 29, 2012
✔ NPI 1366598880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in WA · DE00010610✔ Licensed in TX · 21889
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
825 SHARON AVE E, Moses Lake, WA 98837
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Other Identifiers 4

Medicaid5051248WA
Other911019392Commercial
Other0212066WA · L & I
Other5051248WA · Chpw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyrone Fernando Rodriguez D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

EUGENE PESTER DDS & ASSOCIATES
Dentist (General Practice)
825 SHARON AVE E
MOSES LAKE, WA 98837
Grant County (509) 766-9030
TYRONE F. RODRIGUEZ, D.D.S., P.L.L.C.
Dentist
825 SHARON AVE E
MOSES LAKE, WA 98837
Grant County (509) 766-9030
MOSES LAKE ORTHODONTICS LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
825 SHARON AVE E, MOSES LAKE ORTHODONTICS LLC
MOSES LAKE, WA 98837
Grant County (509) 766-9030
SMITH PESTER PLLC
Clinic/Center (Dental)
825 SHARON AVE E
MOSES LAKE, WA 98837
Grant County (509) 995-7746

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 Tyrone Rodriguez's NPI number?

The NPI number for Tyrone Rodriguez is 1366598880. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Tyrone Rodriguez located?

Tyrone Rodriguez practices at 825 Sharon Ave E, Moses Lake, WA 98837. The listed phone number is (509) 766-9030.

What is Tyrone Rodriguez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Tyrone Rodriguez enrolled in Medicare?

Yes. Tyrone Rodriguez is registered in the Medicare PECOS enrollment system.

What insurance does Tyrone Rodriguez accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 3 other insurers list Tyrone Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyrone Rodriguez was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.