Active NPI
Christian Rodriguez, MD
- Student in an Organized Health Care Education/Training Program
- Dallas, TX
National Provider Identifier
1306696182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-5090 - Phone
- (214) 648-3433
- NPI assigned
- Mar 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-5090
Mailing address
240 Meeting House LN
Southampton, NY 11968-5090
Other practice location 1
240 Meeting House Ln
Southampton, NY 11968-5090
Phone (631) 726-8240
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1306696182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MEETING HOUSE LN",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119685090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD STOP 7200",
"city": "DALLAS",
"state": "TX",
"postal_code": "753905090",
"telephone_number": "214-648-3433"
}
],
"practiceLocations": [
{
"address_1": "240 Meeting House Ln",
"address_purpose": "LOCATION",
"city": "Southampton",
"state": "NY",
"postal_code": "119685090",
"country_code": "US",
"telephone_number": "631-726-8240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "CHRISTIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-25",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Benjamin Edward Rodriguez Jr., AUD
- Brandi Rodriguez, MS, NCC, LPC
- Carina Isabel Rodriguez, LPC
- Carla Mayela Rodriguez, OTR
- Cassandra Rodriguez
- Daileen Janneth Rodriguez, RD, LD
- David Michael Rodriguez, MD
- Diana Belia Rodriguez, SLP-ASSISTANT
- Diana Guadalupe Rodriguez, LPC, MA, PHD
- Dirk I Rodriguez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.