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DR. RODNEY K RAYBURN D.D.S.
NPI 1669474094
Dentist - General Practice in Houston, TX

Active since August 15, 2005PECOS Enrolled
4910 WILLOWBEND BLVD, SUITE-C, HOUSTON, TX 77035(713) 729-1813(713) 729-6080 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Rodney K Rayburn D.d.s. NPPES

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

DR. RODNEY K RAYBURN D.D.S. (NPI 1669474094) is an individual general practice provider in Houston, Texas, licensed in Texas (11761) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669474094
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RODNEY K RAYBURNCredential: D.D.S.
Location Address4910 WILLOWBEND BLVD, SUITE-CHouston, TX 77035-3222
Mailing Address4910 Willowbend Blvd, Suite-cHouston, TX 77035-3227 · (713) 729-1813 · Fax (713) 729-6080
Phone(713) 729-1813
Fax(713) 729-6080
Sole ProprietorYes
Enumeration DateAugust 15, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669474094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 11761
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.
4910 WILLOWBEND BLVD, Houston, TX 77035
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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 K Rayburn 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 77035 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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 2

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

SARAH BIHWEH NKING APRN-CNP
Nurse Practitioner (Family)
4910 WILLOWBEND BLVD
HOUSTON, TX 77035
Harris County (713) 701-7802
DR. RUSSELL R HILLIARD D.D.S.
Dentist (General Practice)
4910 WILLOWBEND BLVD, SUITE C
HOUSTON, TX 77035
Harris County (713) 729-1813

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 Rayburn's NPI number?

The NPI number for Rodney Rayburn is 1669474094. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Rodney Rayburn located?

Rodney Rayburn practices at 4910 Willowbend Blvd Suite-C, Houston, TX 77035. The listed phone number is (713) 729-1813.

What is Rodney Rayburn's specialty?

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

Is Rodney Rayburn enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Rodney Rayburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.