Vinicius Souza Rodrigues, DDS, DMSC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2022012734 Issued in MO

Practice address

9018 N Skyview Ave
Kansas City, MO 64154-8501

Phone

(816) 741-5113

NPI assigned

May 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Alex Sharifian, D.D.S., Tiffany Springs Dental Group, P.C.

  dba Tiffany Springs Dental Group

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1851642508
  NPD (past)
• Village West Dentistry, PA

  dba My Kids Dentist and Orthodontics

  • Dentist
  • Kansas City, KS
  • NPI 1497213565
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1073771580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 BARTON DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051144",
            "telephone_number": "603-943-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9018 N SKYVIEW AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641548501",
            "telephone_number": "816-741-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "VINICIUS",
        "middle_name": "SOUZA",
        "credential": "DDS, DMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KS",
            "license": "61988",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2022012734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Rodgers
• Mary Joanne Rodgers
• James Stephen Rodkey, RT(R)(CT)(MR)
• Deborah Lynn Rodman, APRN
• Matthew Amaral Rodrigues, DDS
• Bailey Rodriguez
• Christina Marie Rodriguez, DPT
• Gianna Isabella Rodriguez, CPHT
• Hannah Rodriguez
• Ivelisse M Rodriguez, RN

• Periodontics in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Periodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.