1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Dentist
  6. NPI Profile

MR. KENNETH RODRIGUEZ DDS
NPI 1962421610
Dentist in Albuquerque, NM

Active since July 19, 2006PECOS Enrolled
3740 COORS BLVD NW STE A, ALBUQUERQUE, NM 87120(505) 836-1280(505) 839-4782 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth Rodriguez Dds NPPES

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

MR. KENNETH RODRIGUEZ DDS (NPI 1962421610) is an individual dentist in Albuquerque, New Mexico, licensed in New Mexico (1749) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962421610
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. KENNETH RODRIGUEZCredential: DDS
Location Address3740 COORS BLVD NW STE AAlbuquerque, NM 87120-4762
Mailing Address3740 Coors Blvd Nw Ste AAlbuquerque, NM 87120-4762 · (505) 836-1280 · Fax (505) 839-4782
Phone(505) 836-1280
Fax(505) 839-4782
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962421610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · 1749
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3740 COORS BLVD NW STE A, Albuquerque, NM 87120
Open in Google Maps ↗

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)

Mr. Kenneth Rodriguez Dds 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 87120 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 5

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

NORTH COORS DENTAL
Dentist
3740 COORS BLVD NW STE A
ALBUQUERQUE, NM 87120
Bernalillo County (505) 836-1280
MR. C. ROSS LONG DDS
Dentist
3740 COORS BLVD NW STE A
ALBUQUERQUE, NM 87120
Bernalillo County (505) 836-1280
MR. THOMAS E HESCH DDS
Dentist
3740 COORS BLVD NW STE A
ALBUQUERQUE, NM 87120
Bernalillo County (505) 836-1280
CORI JEANEL DOMINGUEZ DMD
Dentist (General Practice)
3740 COORS BLVD NW STE A
ALBUQUERQUE, NM 87120
Bernalillo County (505) 836-1280
MEHZABIN HIRJI DDS
Dentist
3740 COORS BLVD NW STE A
ALBUQUERQUE, NM 87120
Bernalillo County (505) 836-1280

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 Kenneth Rodriguez's NPI number?

The NPI number for Kenneth Rodriguez is 1962421610. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Kenneth Rodriguez located?

Kenneth Rodriguez practices at 3740 Coors Blvd NW Ste A, Albuquerque, NM 87120. The listed phone number is (505) 836-1280.

What is Kenneth Rodriguez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kenneth Rodriguez enrolled in Medicare?

Yes. Kenneth Rodriguez is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Rodriguez 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 Humana and 1 other insurer list Kenneth Rodriguez 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 Kenneth Rodriguez 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.