Carlos Rodriguez DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7217 Issued in TN

Legal business name

CARLOS RODRIGUEZ DDS

Practice address

1301 Medical Park Cir
Union City, TN 38261-5877

Phone

(731) 885-0355

Fax

(731) 885-8224

NPI assigned

Jul 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Carlos S Rodriguez, DDSNPI 1033108253

Title

Dentist

Phone

(731) 885-0355

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Sergio Rodriguez, DDS

  • Dentist
  • Union City, TN
  • NPI 1033108253
  NPD (past) Authorized official

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1265720379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MEDICAL PARK CIR",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615877",
            "telephone_number": "731-885-0355",
            "fax_number": "731-885-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MEDICAL PARK CIR",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615877",
            "telephone_number": "731-885-0355",
            "fax_number": "731-885-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS RODRIGUEZ DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "731-885-0355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516146",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Butts, PTA
• Amy Michelle Callins, CFNP
• Dalton Campbell, PT, DPT
• Ernesto R Campos, OT
• Cancer Care Center of Union City
• Tracey Edna Carriere
• Deborah J Chivers, R.N.
• Laken Brooke Clanton, NP-C
• Franklin Clark, D.D.S.,P.C.
• Laura Marie Clark, DDS

• All providers in Union City, TN
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.