Individual provider Active NPI

Monica Marie Rodriguez -Monroig, DMD

  • Dental Anesthesiology
  • Dallas, TX
National Provider Identifier
1144646084
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
34752 Issued in TX
Practice address
2514 Gus Thomasson Rd
Dallas, TX 75228-3040
Phone
(787) 600-6806
NPI assigned
Mar 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X 34752 TX Primary

Addresses

Primary practice location

2514 Gus Thomasson Rd
Dallas, TX 75228-3040

Mailing address

2514 Gus Thomasson Rd
Dallas, TX 75228-3040
Phone (787) 600-6806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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

Enrollment IDStateProvider typePAC IDDetails
I20260616000518 PR Practitioner - Dentist 4981176518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Puerto Rico School of Dentistry, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

213 Hacienda la Monserrate
Calle Gorrion C5
Manati, PR 00674-0102

315 Calle Tetuan
Apt 301
San Juan, PR 00901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34752TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Anesthesia and Associates Current Accepting new patients
Restore Skin and Smile Center LLC Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1144646084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 GUS THOMASSON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283040",
            "telephone_number": "787-600-6806",
            "fax_number": "469-325-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 GUS THOMASSON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283040",
            "telephone_number": "787-600-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ -MONROIG",
        "first_name": "MONICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "TX",
            "license": "34752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.