Active NPI
Rene Alejandro Rodriguez Farrach, D.M.D
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1295980944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS037704
- Practice address
- 11682 Southwest Fwy
Houston, TX 77031-3612 - Phone
- (832) 457-4051
- NPI assigned
- Nov 21, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS037704 | PA | Primary |
Addresses
Primary practice location
11682 Southwest Fwy
Houston, TX 77031-3612
Mailing address
11682 Southwest Fwy
Houston, TX 77031-3612
Phone (832) 457-4051
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26467 | Other | TX | TEXAS STATE BOARD OF DENTAL EXAMINERS |
| DS037704 | Other | PA | PENNSYLVANIA STATE BOARD OF DENTISTRY |
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 |
|---|---|---|---|
| DS037704 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rene Rodriguez DMD, PC. | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1295980944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11682 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770313612",
"telephone_number": "832-457-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11682 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770313612",
"telephone_number": "832-457-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ FARRACH",
"first_name": "RENE",
"middle_name": "ALEJANDRO",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-21",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS037704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
"identifier": "26467",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA STATE BOARD OF DENTISTRY",
"identifier": "DS037704",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Maria Fernanda Rodriguez de Leon
- Yeny Rodriguez de Rosas, LPC-A, QMHP
- Mileydis Rodriguez Delfino, APRN, FNP-C
- Tihany Vanessa Rodriguez Diaz, DMD
- Brian Omar Rodriguez Echevarria, MD
- Hilary Rodriguez Febus, M.S. CCC-SLP
- Laura Rodriguez Galeano, M.S. CCC-SLP
- Raysa Rodriguez Garay, APRN-CNP
- Renier Rodriguez Garcia
- Andres Felipe Rodriguez Gonzalez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.