Manuel J Rodriguez DDS LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MANUEL J RODRIGUEZ DDS LTD.

Practice address

521 W Liberty St
Wauconda, IL 60084-2470

Phone

(847) 526-3660

Fax

(847) 526-6970

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Manuel J Rodriguez, DDSNPI 1427127687

Title

President

Phone

(847) 526-3660

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manuel J Rodriguez, DDS

  • General Practice Dentistry
  • Wauconda, IL
  • NPI 1427127687
  NPD (past) Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033288212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W LIBERTY ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600842470",
            "telephone_number": "847-526-3660",
            "fax_number": "847-526-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W LIBERTY ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600842470",
            "telephone_number": "847-526-3660",
            "fax_number": "847-526-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL J RODRIGUEZ DDS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-526-3660",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Ann Lullo, AS, BAS, PTA
• Siobhan Lynch, FNP-C
• Shraddha Arvind Majcher, MPT
• Gail Malvestuto, ED.D.
• Robert John Manfredini Jr., D.N.
• Donna Marchini
• Courtney Joy Marescalco, APNP
• Kathleen Marie Mariani, P.A.
• Donna Marie Martino, LCPC
• Carl Eric Mayer, DDS

• General Practice Dentistry in Wauconda, IL
• Providers in Wauconda, 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 Aug 22, 2020; 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.