Manuel Rodriguez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D010735 Issued in AZ

Practice address

8245 N Silverbell Rd Ste 145
Tucson, AZ 85743-7387

Phone

(520) 881-8902

NPI assigned

Jun 19, 2020

Last updated

May 18, 2021By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Wise PLLC

  • Dental Clinic/Center
  • Tucson, AZ
  • NPI 1902548068
  NPD Authorized official
• Midvale Park Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1669026167
  NPD (past)

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1093331696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "CORTARO",
            "state": "AZ",
            "postal_code": "856520218",
            "telephone_number": "520-256-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 N SILVERBELL RD STE 145",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437387",
            "telephone_number": "520-881-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Rodriguez Jr.
• Kasandra Garcia Rodriguez, NP
• Kerry Ivey Rodriguez, PHARMD
• Licenia Rodriguez
• Madison Rodriguez, RBT
• Margaret Rodriguez, LPC, NCC, CDVC, CSGC
• Mario E Rodriguez, PHARMD
• Marlene Rodriguez, MD
• Mary Alejandra Rodriguez, L. AC.
• Mary Beth Rodriguez, M.ED

• Dentist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.