Active NPI
Adrian Ivar Rodriguez, DMD,MSD
- Periodontics
- Miami, FL
National Provider Identifier
1225118755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN14368
- Practice address
- 1001 Ives Dairy Rd
Suite 103
Miami, FL 33179-2501 - Phone
- (305) 652-3412
- Fax
- (305) 652-3459
- NPI assigned
- Oct 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN14368 | FL | Primary |
Addresses
Primary practice location
1001 Ives Dairy Rd
Suite 103
Miami, FL 33179-2501
Mailing address
555 NE 15TH St
Apt 29C
Miami, FL 33132-1451
Phone (305) 373-5807
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN14368 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225118755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 NE 15TH ST",
"address_2": "APT 29C",
"city": "MIAMI",
"state": "FL",
"postal_code": "331321451",
"telephone_number": "305-373-5807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 IVES DAIRY RD",
"address_2": "SUITE 103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331792501",
"telephone_number": "305-652-3412",
"fax_number": "305-652-3459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ADRIAN",
"middle_name": "IVAR",
"credential": "DMD,MSD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN14368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.