Dora E Rodriguez DMD PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN16833 Issued in FL

Legal business name

DORA E RODRIGUEZ DMD PA

Practice address

9449 Sheridan Street
Suite B
Cooper City, FL 33024

Phone

(954) 431-3025

Fax

(954) 431-3201

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Dora E Rodriguez, DMDNPI 1922174929

Title

President

Phone

(954) 431-3025

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dora E Rodriguez, DMD

  • Pediatric Dentistry
  • Cooper City, FL
  • NPI 1922174929
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1083780084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 SHERIDAN STREET",
            "address_2": "SUITE B",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-431-3025",
            "fax_number": "954-431-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 SHERIDAN STREET",
            "address_2": "SUITE B",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-431-3025",
            "fax_number": "954-431-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORA E RODRIGUEZ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-431-3025",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN16833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "87192",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.