ELIANYS YOSELI MAVARES RODRIGUEZ DMD
NPI 1912703653
Dentist - General Practice in Fuquay Varina, NC

Active since February 24, 2025PECOS Enrolled
1890 N BROAD ST STE 100, FUQUAY VARINA, NC 27526(919) 295-2757 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 23, 2025, Nov 18, 2025, Nov 14, 2025 and 1 more (4 updates tracked since 2025).

About Elianys Yoseli Mavares Rodriguez Dmd NPPES

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

ELIANYS YOSELI MAVARES RODRIGUEZ DMD (NPI 1912703653) is an individual general practice provider in Fuquay Varina, North Carolina, licensed in North Carolina (14504) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912703653
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameELIANYS YOSELI MAVARES RODRIGUEZCredential: DMD
Location Address1890 N BROAD ST STE 100Fuquay Varina, NC 27526-3657
Mailing Address1890 N Broad St Ste 100Fuquay Varina, NC 27526-3657 · (919) 586-8565
Sole ProprietorNo
Enumeration DateFebruary 24, 2025
Last NPPES UpdateDecember 23, 20254 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1912703653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 14504
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.

1890 N BROAD ST STE 100, Fuquay Varina, NC 27526

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elianys Yoseli Mavares Rodriguez Dmd 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 27526 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 3

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

Oral & Maxillofacial Surgery
1890 N BROAD ST STE 100
FUQUAY VARINA, NC 27526
Dentist (Prosthodontics)
1890 N BROAD ST STE 100
FUQUAY VARINA, NC 27526
Dentist (Periodontics)
1890 N BROAD ST STE 100
FUQUAY VARINA, NC 27526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912703653, enumerated as an "individual" on February 24, 2025.

The provider is located at 1890 N BROAD ST STE 100 FUQUAY VARINA, NC 27526 and the phone number is (919) 295-2757.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.