Active NPI
Rachael L Rodriguez, DDS
- Dentist
- Springdale, AR
National Provider Identifier
1275793390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3661
- Practice address
- 1521 Executive PL Ste a
Springdale, AR 72762-4260 - Phone
- (479) 250-1516
- NPI assigned
- Jun 12, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3661 | AR | Primary |
Addresses
Primary practice location
1521 Executive PL Ste a
Springdale, AR 72762-4260
Mailing address
1521 Executive PL Ste a
Springdale, AR 72762-4260
Phone (479) 250-1516
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 |
|---|---|---|---|
| 3661 | AR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodriguez Dentistry PLLC | Dentist | Current | Accepting new patients |
Locations
1521 Executive Pl
Ste A
Springdale, AR 72762
Phone (479) 250-1516
Organizations & group practices 1
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.
-
- Dentist
- Springdale, AR
- NPI 1609387612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1275793390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 EXECUTIVE PL STE A",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727624260",
"telephone_number": "479-250-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 EXECUTIVE PL STE A",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727624260",
"telephone_number": "479-250-1516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RACHAEL",
"middle_name": "L",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "3661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.