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DR. RODNEY IDA D.D.S.
NPI 1649695537
Dentist - Endodontics in Tustin, CA

Active since February 28, 2014PECOS Enrolled
17542 IRVINE BLVD, SUITE # A, TUSTIN, CA 92780(714) 547-8494(714) 547-3448 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Oct 25, 2017, Feb 18, 2017 (3 updates tracked since 2017).

About Dr. Rodney Ida D.d.s. NPPES

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

DR. RODNEY IDA D.D.S. (NPI 1649695537) is an individual endodontics provider in Tustin, California, licensed in California (CA36250) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649695537
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. RODNEY IDACredential: D.D.S.
Location Address17542 IRVINE BLVD, SUITE # ATustin, CA 92780-3155
Mailing Address17542 Irvine Blvd, Suite # ATustin, CA 92780-3155 · (714) 547-8494 · Fax (714) 547-3448
Phone(714) 547-8494
Fax(714) 547-3448
Sole ProprietorYes
Enumeration DateFebruary 28, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1649695537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in CA · CA36250✔ Licensed in CA · 36250
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
17542 IRVINE BLVD, Tustin, CA 92780
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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. Rodney Ida 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 92780 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 10

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

JASON WILLIAM AUSTIN MFT
Marriage & Family Therapist
17542 IRVINE BLVD, #F
TUSTIN, CA 92780
Orange County (714) 508-1919
MR. BRUCE ROBERT FREDENBURG L.M.F.T.
Marriage & Family Therapist
17542 IRVINE BLVD, SUITE F
TUSTIN, CA 92780
Orange County (714) 508-1919
JEFF P BLANKS MFT
Marriage & Family Therapist
17542 IRVINE BLVD, SUITE F
TUSTIN, CA 92780
Orange County (949) 525-3364
DR. PISHYA CHAMKASEM DDS
Dentist (General Practice)
17542 IRVINE BLVD, SUITE D
TUSTIN, CA 92780
Orange County (714) 573-1224
CHAMKASEM, DDS, INC.
Dentist (General Practice)
17542 IRVINE BLVD, SUITE D
TUSTIN, CA 92780
Orange County (714) 573-1224
DR. JAMES PATRICK TONER D.D.S.
Dentist (General Practice)
17542 IRVINE BLVD, SUITE C
TUSTIN, CA 92780
Orange County (714) 544-8000
DR. STEVEN R CHEW D.D.S.
Dentist
17542 IRVINE BLVD, STE E
TUSTIN, CA 92780
Orange County (714) 832-5890
MS. SUSAN ADELE WALTERS MFT
Marriage & Family Therapist
17542 IRVINE BLVD, SUITE F
TUSTIN, CA 92780
Orange County (949) 278-1114

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 Rodney Ida's NPI number?

The NPI number for Rodney Ida is 1649695537. It was assigned to this individual provider in the NPPES registry on February 28, 2014.

Where is Rodney Ida located?

Rodney Ida practices at 17542 Irvine Blvd Suite # A, Tustin, CA 92780. The listed phone number is (714) 547-8494.

What is Rodney Ida's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Rodney Ida enrolled in Medicare?

Yes. Rodney Ida is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rodney Ida was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.