Active NPI
Rebekha Michelle Rodriguez, D.D.S.
- Dentist
- Grand Prairie, TX
National Provider Identifier
1063524858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22695
- Practice address
- 2580 W Camp Wisdom Rd
Suite 300
Grand Prairie, TX 75052-3088 - Phone
- (972) 522-0784
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22695 | TX | Primary |
Addresses
Primary practice location
2580 W Camp Wisdom Rd
Suite 300
Grand Prairie, TX 75052-3088
Mailing address
2212 Appollonia St
Dallas, TX 75204-4621
Phone (972) 523-6790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22695 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1063524858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 APPOLLONIA ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752044621",
"telephone_number": "972-523-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 W CAMP WISDOM RD",
"address_2": "SUITE 300",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750523088",
"telephone_number": "972-522-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "REBEKHA",
"middle_name": "MICHELLE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
- Rockland Medical Supply & Equipment Inc
- Rod & Staff Home Healthcare Services Inc
- Gary Rodgers, ATP
- Fernan Rodriguez, DDS, MS
- Jacquelyn Lyzzette Rodriguez
- Robert B. Rodriguez Jr., M.D.
- Yolanda Rogers-Felts
- Arlie Franklin Rogers Jr., MA, LPC-S, RPT
- Persephone Rogers, M.S, LSSP, NCSP
- Kimberly Cherie Roland-Edmondson, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.