Fausto Rodela-Rodriguez, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

1415 Town Square LN
Faribault, MN 55021-6088

Phone

(507) 323-8100

Fax

(833) 974-2090

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21423/brand/1/csg/1/fhir/r4

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.

• Healthfinders Collaborative, Inc.

  • Community Health Clinic/Center
  • Faribault, MN
  • NPI 1265744890
  NPD

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1245960962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 TOWN SQUARE LN",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216088",
            "telephone_number": "507-323-8100",
            "fax_number": "833-974-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TOWN SQUARE LN",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216088",
            "telephone_number": "507-323-8100",
            "fax_number": "833-974-2090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Southview St",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550603241",
            "country_code": "US",
            "telephone_number": "507-214-6662",
            "fax_number": "833-974-2090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "706 Division St S",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "MN",
            "postal_code": "550572427",
            "country_code": "US",
            "telephone_number": "507-646-8964",
            "fax_number": "833-974-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODELA-RODRIGUEZ",
        "first_name": "FAUSTO",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RDH LICENSE",
            "identifier": "H11333",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Faribault, MN
• Providers in Faribault, MN by specialty
• Dental Hygienist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.