Organization Active NPI

Ariel J. Rodriguez, DDS, a Professional Dental Corporation

  • Dentist
  • Glendale, CA
National Provider Identifier
1093004582
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50179 Issued in CA
Legal business name
ARIEL J. RODRIGUEZ, DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
428 Arden Ave
Suite 201
Glendale, CA 91203-1108
Phone
(818) 243-4287
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Dr. Ariel Julian Rodriguez, D.D.S.NPI 1790983948
Title
President
Phone
(619) 370-2900

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50179 CA Primary

Addresses

Primary practice location

428 Arden Ave
Suite 201
Glendale, CA 91203-1108

Mailing address

428 Arden Ave
Suite 201
Glendale, CA 91203-1108
Phone (818) 243-4287

National Provider Directory

National Provider Directory

Locations

428 Arden Ave
Ste 201
Glendale, CA 91203
Phone (818) 243-4287

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": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1093004582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 ARDEN AVE",
            "address_2": "SUITE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031108",
            "telephone_number": "818-243-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 ARDEN AVE",
            "address_2": "SUITE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031108",
            "telephone_number": "818-243-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIEL J. RODRIGUEZ, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "JULIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-370-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.