Alan Rodriguez Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

25698 Issued in TX

Practice address

700 Flournoy Rd
Suite 2a
Alice, TX 78332-4003

Phone

(361) 664-1417

Fax

(361) 664-3218

NPI assigned

Jul 9, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: arodriguez56032@shannonhealth.direct-ci.com

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1073825832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 1ST ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324822",
            "telephone_number": "361-396-0370",
            "fax_number": "361-664-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FLOURNOY RD",
            "address_2": "SUITE 2A",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324003",
            "telephone_number": "361-664-1417",
            "fax_number": "361-664-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BRYAN CHC",
            "identifier": "1649265646",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BVCAA AGENCY NPI",
            "identifier": "1821185299",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERTSON CHC NPI",
            "identifier": "1275620551",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154467801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154467803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SDBE DENTAL LICENSE",
            "identifier": "25698",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Marie Rios, COTA
• RJ Meridian Care of Alice, LTD
• Roberson EMS
• Micheal James Robertson, OT
• Ivonne Robledo, COTA
• Andrea Yvonne Rodriguez, M.S., CCC - SLP
• Brianna Nicole Rodriguez, PHARMD
• Tammy Ava Rodriguez
• Roel Valadez, Jr., D.D.S., P.L.L.C.
• Rri Pharmacy LLC Dba Rushing and Gonzalez Drug

• Dentist in Alice, TX
• Providers in Alice, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.