Individual provider Active NPI

Dario Alfonso Rodriguez, DDS

  • General Practice Dentistry
  • Oviedo, FL
National Provider Identifier
1154479434
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN12780 Issued in FL
Practice address
1013 Lockwood Blvd
#7
Oviedo, FL 32765-6001
Phone
(407) 278-0934
Fax
(407) 278-0939
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN12780 FL Primary

Addresses

Primary practice location

1013 Lockwood Blvd
#7
Oviedo, FL 32765-6001

Mailing address

4515 Bond LN
Oviedo, FL 32765-9612
Phone (407) 920-1361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160301001000 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2860797768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1154479434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 BOND LN",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659612",
            "telephone_number": "407-920-1361",
            "fax_number": "407-696-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 LOCKWOOD BLVD",
            "address_2": "#7",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656001",
            "telephone_number": "407-278-0934",
            "fax_number": "407-278-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DARIO",
        "middle_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.