Organization Active NPI

Ra Rodriguez Dental, PLLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1285466771
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RA RODRIGUEZ DENTAL, PLLC
Practice address
14310 Northbrook Dr Ste 150
San Antonio, TX 78232-5051
Phone
(713) 516-7303
NPI assigned
Aug 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Ryan Rodriguez, DDS
Title
Owner
Phone
(713) 516-7303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14310 Northbrook Dr Ste 150
San Antonio, TX 78232-5051

Mailing address

1152 Sophia St
Allen, TX 75013-4929
Phone (713) 516-7303

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
45D2318436Ra Rodriguez Dental, PLLC14310 Northbrook Dr. Ste 150, San Antonio, TX 78232Certificate of waiverFeb 10, 2027

National Provider Directory

National Provider Directory

Locations

14310 Northbrook Dr
Ste 150
San Antonio, TX 78232
Phone (210) 495-5588

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1285466771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 SOPHIA ST",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134929",
            "telephone_number": "713-516-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14310 NORTHBROOK DR STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325051",
            "telephone_number": "713-516-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RA RODRIGUEZ DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-516-7303",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.