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: July 19, 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
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

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

Medicare Participation & PECOS Enrollment Status

Kevin Rodriguez-lichtenberg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 23112 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $86.88
  • Minimum New Patient Price $56.19
  • Maximum New Patient Price $170.3
  • Average New Patient Copayment $21.72
  • Minimum New Patient Copayment $14.04
  • Maximum New Patient Copayment $42.57

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.08
  • Minimum Established Patient Price $18.07
  • Maximum Established Patient Price $138.91
  • Average Established Patient Copayment $17.52
  • Minimum Established Patient Copayment $4.51
  • Maximum Established Patient Copayment $34.72

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. KEVIN MANUEL RODRIGUEZ-LICHTENBERG DDS, MPH

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
6661 LAKE HARBOUR DR
MIDLOTHIAN, VA 23112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790318152, enumerated as an "individual" on February 13, 2020.

The provider is located at 6661 LAKE HARBOUR DR MIDLOTHIAN, VA 23112 and the phone number is (804) 729-0792.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.