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DR. KEVIN MANUEL RODRIGUEZ-LICHTENBERG DDS, MPH
NPI 1790318152
Dentist - Pediatric Dentistry in Midlothian, VA

Active since February 13, 2020PECOS Enrolled
6661 LAKE HARBOUR DR, MIDLOTHIAN, VA 23112(804) 729-0792 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2026, Mar 22, 2026, Sep 19, 2024 and 3 more (6 updates tracked since 2020).

About Dr. Kevin Manuel Rodriguez-lichtenberg Dds, Mph NPPES

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

DR. KEVIN MANUEL RODRIGUEZ-LICHTENBERG DDS, MPH (NPI 1790318152) is an individual pediatric dentistry provider in Midlothian, Virginia, licensed in Virginia (0401417104) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Williamsburg.

NPPES Registry Identity

NPI1790318152
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KEVIN MANUEL RODRIGUEZ-LICHTENBERGCredential: DDS, MPH
Location Address6661 LAKE HARBOUR DRMidlothian, VA 23112-2082
Mailing Address6661 Lake Harbour DrMidlothian, VA 23112-2082
Phone(804) 729-0792
Sole ProprietorNo
Enumeration DateFebruary 13, 2020
Last NPPES UpdateMarch 25, 20266 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1790318152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in VA · 0401417104✔ Licensed in FL · DN28821
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.
6661 LAKE HARBOUR DR, Midlothian, VA 23112
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Other Names 1

Former Name (1)Dr. Kevin Manuel Rodriguez Santos Dds, Mph

Secondary Practice Location 1

Location 1213 Bulifants Blvd Ste BWilliamsburg, VA 23188-5733 · Phone (757) 903-4525

Other Identifiers 1

Medicaid122877100FL

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. Kevin Manuel Rodriguez-lichtenberg Dds, Mph 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 23112 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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

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

COMMONWEALTH PEDIATRIC DENTISTRY, PLLC
Dentist (General Practice)
6661 LAKE HARBOUR DR
MIDLOTHIAN, VA 23112
Chesterfield County (804) 363-4283

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 Kevin Rodriguez-lichtenberg's NPI number?

The NPI number for Kevin Rodriguez-lichtenberg is 1790318152. It was assigned to this individual provider in the NPPES registry on February 13, 2020. The provider is also known as Dr. Kevin Manuel Rodriguez Santos Dds, Mph.

Where is Kevin Rodriguez-lichtenberg located?

Kevin Rodriguez-lichtenberg practices at 6661 Lake Harbour Dr, Midlothian, VA 23112. The listed phone number is (804) 729-0792.

What is Kevin Rodriguez-lichtenberg's specialty?

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

Is Kevin Rodriguez-lichtenberg enrolled in Medicare?

Yes. Kevin Rodriguez-lichtenberg is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Rodriguez-lichtenberg 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 and 2 other insurers list Kevin Rodriguez-lichtenberg 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 Kevin Rodriguez-lichtenberg was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.