Organization Active NPI

Dyd Services Inc

Doing business as Rosenberg Family Clinic

  • Family Medicine Physician
  • Rosenberg, TX
National Provider Identifier
1275363830
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DYD SERVICES INC
Doing business as
Rosenberg Family Clinic
Practice address
3612 Avenue H
Suite 120
Rosenberg, TX 77471
Phone
(346) 467-2005
Fax
(281) 762-0373
NPI assigned
Aug 7, 2024
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Ms. Damari Duarte Rodriguez, FNPNPI 1194236679
Title
FNP
Phone
(346) 467-2005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3612 Avenue H
Suite 120
Rosenberg, TX 77471

Mailing address

3612 Avenue H
Suite 120
Rosenberg, TX 77471

Other names 1

  • ROSENBERG FAMILY CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241024001197 TX Part B Supplier - Clinic/Group Practice 2062945421 Receives reassigned benefits from 1 practitioner
Practice locations: Rosenberg, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2310983Rosenberg Family Clinic3612 Avenue H, Ste-120, Rosenberg, TX 77471Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory

Locations

3612 Avenue H
Ste 120
Rosenberg, TX 77471
Phone (346) 467-2005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1275363830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 AVENUE H",
            "address_2": "SUITE 120",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "77471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 AVENUE H",
            "address_2": "SUITE 120",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "77471",
            "telephone_number": "346-467-2005",
            "fax_number": "281-762-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYD SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "DUARTE RODRIGUEZ",
        "authorized_official_first_name": "DAMARI",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "346-467-2005",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSENBERG FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROSENBERG FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.