Jacqueline Rodriguez, DMD, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JACQUELINE RODRIGUEZ, DMD, P.C.

Practice address

561 W Diversey Pkwy Ste 203
Chicago, IL 60614-1682

Phone

(847) 738-7659

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Rodriguez, DMDNPI 1750801585

Title

Owner-Dentist

Phone

(847) 738-7659

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Marguerite Rodriguez, DMD

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1750801585
  NPD Authorized official

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1326784398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 W THOMAS ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606423989",
            "telephone_number": "847-738-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 W DIVERSEY PKWY STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141682",
            "telephone_number": "847-738-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE RODRIGUEZ, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER-DENTIST",
        "authorized_official_telephone_number": "847-738-7659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "JMRodriguezDMD@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "561 W Diversey Pkwy Ste 203",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606141682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anabel S Jacome
• Freddy Jacome
• Oscar Jacome, DPT
• Francky Jacque, MD
• Jacqueline Herbstman, LCSW, P.C.
• Jacques Gourguechon, LPC
• Kristianna E Jacques, LCSW
• Rachele' Jacques, PHLEBOTOMIST AND MED
• Imani Jacquet
• Gabriela Jacquez-Jimenez, COTA/L

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.