Raquel Saavedra Rodriguez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033652 Issued in IL

Practice address

956 N Neltnor Blvd
West Chicago, IL 60185-5982

Phone

(630) 293-7777

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Smile View Dental

  • General Practice Dentistry
  • West Chicago, IL
  • NPI 1992133649
  NPD

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1104565399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4529 FOREST AVE APT 3",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605132071",
            "telephone_number": "786-370-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 N NELTNOR BLVD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855982",
            "telephone_number": "630-293-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAVEDRA RODRIGUEZ",
        "first_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033652",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mysmileviewdental.com/",
            "affiliation": "N",
            "endpointDescription": "Webside",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "956 N Neltnor Blvd",
            "city": "West Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601855982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renal Consultants LLC
• Elizabeth Rimui
• Jin Hi K Roskamp, INTERPRETER
• Jill Ross, BS
• Caitlyn Ryba
• Rosario D Salerno, D.D.S.
• Salud Dental LLC
• Benjamin Sampson, PHARM.D.
• Harpinder Sandhu, MD
• Karen Santiago

• General Practice Dentistry in West Chicago, IL
• Providers in West Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.