Active NPI
Kelbin Rodriguez D.D.S., PLLC
- General Practice Dentistry
- Knoxville, TN
National Provider Identifier
1053623223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8820
- Legal business name
- KELBIN RODRIGUEZ D.D.S., PLLC
- Practice address
- 512 Merchant Dr
Knoxville, TN 37912-3851 - Phone
- (865) 689-7556
- Fax
- (865) 689-1067
- NPI assigned
- Jul 5, 2010
- Last updated
- Jul 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelbin Rodriguez
- Title
- President
- Phone
- (865) 689-7556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8820 | TN | Primary |
Addresses
Primary practice location
512 Merchant Dr
Knoxville, TN 37912-3851
Mailing address
512 Merchant Dr
Knoxville, TN 37912-3851
Phone (865) 689-7556
National Provider Directory
National Provider DirectoryLocations
512 Merchant Dr
Knoxville, TN 37912
Phone (865) 689-7556
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Knoxville, TN
- NPI 1689820151
-
- General Practice Dentistry
- Knoxville, TN
- NPI 1801050059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278288000000",
"number": "1053623223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 MERCHANT DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379123851",
"telephone_number": "865-689-7556",
"fax_number": "865-689-1067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 MERCHANT DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379123851",
"telephone_number": "865-689-7556",
"fax_number": "865-689-1067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELBIN RODRIGUEZ D.D.S., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-05",
"last_updated": "2010-07-05",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "KELBIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "865-689-7556"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "8820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.