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DR. JOSE CARLOS RODRIGUEZ D.D.S.
NPI 1467425926
Dentist - General Practice in Pine Ridge, SD

Active since February 07, 2006PECOS Enrolled
EAST HIGHWAY 18, PINE RIDGE, SD 57770(605) 867-3078(605) 867-3229 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jose Carlos Rodriguez D.d.s. NPPES

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

DR. JOSE CARLOS RODRIGUEZ D.D.S. (NPI 1467425926) is an individual general practice provider in Pine Ridge, South Dakota, licensed in Puerto Rico (001871) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467425926
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOSE CARLOS RODRIGUEZCredential: D.D.S.
Location AddressEAST HIGHWAY 18Pine Ridge, SD 57770-1201
Mailing Address6606 150th LnGordon, NE 69343-5407 · (308) 282-0779
Phone(605) 867-3078
Fax(605) 867-3229
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateDecember 13, 2011
✔ NPI 1467425926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PR · 001871
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
EAST HIGHWAY 18, Pine Ridge, SD 57770
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jose Carlos 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.

Medicare Billing Reassignment

Medicare enrollment records show Jose Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pine Ridge Indian Health Service Hospital
1.1 mi
General Acute Care Hospital
EAST HIGHWAY 18
Pine Ridge, SD 57770
  • Reassigned Medicare billing, Texas enrollment
  • 426 clinicians in this Medicare group
NPI 1497786412 (605) 837-3314

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57770 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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 20

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

ANITA LARAE EASTON RN
Registered Nurse
EAST HIGHWAY 18, PINE RIDGE IHS
PINE RIDGE, SD 57770
Oglala Lakota County (605) 867-3068
RONALD A REID PHD
Psychologist
EAST HIGHWAY 18
PINE RIDGE, SD 57770
Oglala Lakota County (605) 867-3043
JULIE COOMES RN
Licensed Practical Nurse
EAST HIGHWAY 18
PINE RIDGE, SD 57770
Oglala Lakota County (605) 867-5131
JOBETH ANN SWALLOW
Registered Nurse (Ambulatory Care)
EAST HIGHWAY 18
PINE RIDGE, SD 57770
Oglala Lakota County (605) 867-5131
NICOLE JOY GLINES
Dental Hygienist
EAST HIGHWAY 18
PINE RIDGE, SD 57770
Oglala Lakota County (605) 867-3078
GLORIA ESTHER VELAZCO RN
Registered Nurse
EAST HIGHWAY 18
PINE RIDGE, SD 57770
Oglala Lakota County (605) 867-5131
RUTH L CEDAR FACE MAC, CCDC II
Counselor (Addiction (Substance Use Disorder))
EAST HIGHWAY 18, IHS COMPOUND
PINE RIDGE, SD 57770
Oglala Lakota County (605) 867-5131
HEATHER J BREHMER RN
Registered Nurse (Ambulatory Care)
EAST HIGHWAY 18
PINE RIDGE, SD 57770
Oglala Lakota County (605) 867-5131

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 Jose Rodriguez's NPI number?

The NPI number for Jose Rodriguez is 1467425926. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Jose Rodriguez located?

Jose Rodriguez practices at East Highway 18, Pine Ridge, SD 57770. The listed phone number is (605) 867-3078.

What is Jose Rodriguez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jose Rodriguez enrolled in Medicare?

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

Which organization bills Medicare for Jose Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Rodriguez reassigns Medicare benefits to Pine Ridge Indian Health Service Hospital (Pine Ridge, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Rodriguez was last updated on December 13, 2011. 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.