Ramon Juan Rodriguez, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.027200 Issued in IL

Practice address

4600 S Pulaski Rd
Chicago, IL 60632-4038

Phone

(773) 376-1111

Fax

(773) 376-3099

NPI assigned

Jan 10, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Chicago Dental Associates, Inc.

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1538335971
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1013193846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324038",
            "telephone_number": "773-376-1111",
            "fax_number": "773-376-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324038",
            "telephone_number": "773-376-1111",
            "fax_number": "773-376-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAMON",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy A Rodriguez, RN, CDCES
• Nathalie Rodriguez
• Noheli Enid Rodriguez, MD
• Norma Rodriguez, M.D.
• Patricia Rodriguez, PHARMD
• Rebeca Rodriguez, SLPA
• Reyna Ahtsiri Rodriguez, LMT
• Robert Michael Rodriguez
• Robert R. Rodriguez, PH.D.
• Rodolfo Rodriguez, DMD

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.