Individual provider Active NPI

Benjamin Edward Rodriguez Jr., AUD

  • Audiologist
  • Dallas, TX
National Provider Identifier
1164575817
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80033 Issued in TX
Practice address
1966 Inwood Rd.
Dallas, TX 75235-7298
Phone
(214) 905-3010
Fax
(214) 905-3022
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80033 TX Primary
Audiologist-Hearing Aid Fitter 237600000X 80033 TX

Addresses

Primary practice location

1966 Inwood Rd.
Dallas, TX 75235-7298

Mailing address

1966 Inwood Rd.
Dallas, TX 75235-7298
Phone (214) 905-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80033TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing & Speech Center, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Hearing and Speech Centers Audiologist-Hearing Aid Fitter Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: benjamin.rodriguez.1@30715.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1164575817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 INWOOD RD.",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357298",
            "telephone_number": "214-905-3010",
            "fax_number": "214-905-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 INWOOD RD.",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357298",
            "telephone_number": "214-905-3010",
            "fax_number": "214-905-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "BENJAMIN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80033",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.