Organization Active NPI

Kelbin Rodriguez D.D.S., PLLC

  • General Practice Dentistry
  • Knoxville, TN
National Provider Identifier
1053623223
Registry record updated Jul 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8820 Issued in TN
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2010

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

Authorized official

Name
Kelbin RodriguezNPI 1689820151
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.