Victor Rodriguez DDS, PA

Primary specialty

DentistTaxonomy code 122300000X

License

18149 Issued in TX

Legal business name

VICTOR RODRIGUEZ DDS, PA

Doing business as

Clear Lake Dental Associates

Practice address

17225 El Camino Real
#150
Houston, TX 77058-2700

Phone

(281) 280-9380

Fax

(281) 280-9376

NPI assigned

Nov 25, 2014

Last updated

Nov 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Victor Rodriguez, DDSNPI 1639214661

Title

Dentist

Phone

(281) 280-9380

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clear Lake Dental Associates Doing business as

Locations

Practitioners 3

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.

• Victor Rodriguez, DDS

  • General Practice Dentistry
  • Houston, TX
  • NPI 1639214661
  Authorized official Same address or phone
• Sean Robert Larue, D.D.S.

  • Dentist
  • Houston, TX
  • NPI 1871908079
  NPD (past)
• Nolan Walker, DDS

  • General Practice Dentistry
  • Houston, TX
  • NPI 1093553521
  NPD (past)

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1295132827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17225 EL CAMINO REAL",
            "address_2": "#150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582700",
            "telephone_number": "281-280-9380",
            "fax_number": "281-280-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17225 EL CAMINO REAL",
            "address_2": "#150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582700",
            "telephone_number": "281-280-9380",
            "fax_number": "281-280-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR RODRIGUEZ DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-280-9380",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306854-07",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Lake Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Lee Vickers, D.D.S.
• Theresa G Vicroy, M.D.
• Victor a. Oderinde, P.C.
• Victor M Zurita DDS
• Victor M. Rodriguez, M.D., Medical Group, PLLC
• Victor T. Chu, O.D.,P.a. (Vision Care)
• Victor Van Phan DO PA (Premier Orthopaedics and Sports Medicine)
• Cheryl B Victor, LMT
• David W Victor III, M.D.
• Deena Cheree Victor, RDLD

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.