Paola Carolina Rodriguez, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN24700 Issued in FL

Practice address

109 Whitehall Dr Ste 118
St Augustine, FL 32086-5266

Phone

(904) 824-0990

NPI assigned

Jul 8, 2014

Sex

Female

Sole proprietor

Yes

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

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.

• Dr. Paola Carolina LLC

  • General Practice Dentistry
  • St Augustine, FL
  • NPI 1144006800
  NPD Authorized official
• A Plus Oral Surgery Specialty Care, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Reading, PA
  • NPI 1982910535
  NPD (past)

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1154737377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WHITEHALL DR STE 118",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865266",
            "telephone_number": "904-824-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WHITEHALL DR STE 118",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865266",
            "telephone_number": "904-824-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PAOLA",
        "middle_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Edwin Roddenberry
• Philip Gregory Rodger, D.C., B.S.
• Marcos Antonio Rodriguez Hernandez, PTA
• Alexis Rodriguez
• Christine Rodriguez, DPT
• Rosana Rodriguez, DPM
• Taryn Rodriguez, FNP-C
• Teresa Lynn Rodriguez
• Valerie Rodriguez, LSCW
• Paul Sebastian Roettges, MD

• Dentist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.