Ivan Enrique Rodriguez, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

TX 18670 Issued in TX

Practice address

1610 E Harrison Ave
Suite a
Harlingen, TX 78550-7309

Phone

(956) 412-9500

Fax

(956) 412-1146

NPI assigned

Sep 7, 2006

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Ernesto Trevino, DDS, PLLC

  • Endodontics
  • Harlingen, TX
  • NPI 1972878924
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033212626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 E HARRISON AVE",
            "address_2": "SUITE A",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507309",
            "telephone_number": "956-412-9500",
            "fax_number": "956-412-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 E HARRISON AVE",
            "address_2": "SUITE A",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507309",
            "telephone_number": "956-412-9500",
            "fax_number": "956-412-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "IVAN",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "TX 18670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina G Rodriguez, OTR
• Eileen Rodriguez, BT
• Francine Rodriguez, LVN
• Gabriela Rodriguez, RN
• George Anthony Rodriguez, PMHNP-BC
• Janelle Jordan Rodriguez, LVN
• Jeronimo Rodriguez
• Josefa C Rodriguez, LVN
• Joshua David Rodriguez, M.D.
• Kayla Denise Rodriguez

• Dentist in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.