Individual provider Active NPI

Nora Patricia Rodriguez Adame

  • General Practice Dentistry
National Provider Identifier
1356031918
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
09586311 Issued in TX
Practice address
Valle del Sol 1971-6
CD.Juarez, CHIHUAHUA 32459
MX
Phone
(915) 215-9491
NPI assigned
May 8, 2023
Last updated
May 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 09586311 TX Primary

Addresses

Primary practice location

Valle del Sol 1971-6
CD.Juarez, CHIHUAHUA 32459
MX

Mailing address

11425 Flor Liatris Dr
Socorro, TX 79927-3393
Phone (915) 215-9491

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

LicenseStateTypeSpecialty
09586311TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Julia Soto General Practice CurrentSince May 14, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1356031918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 FLOR LIATRIS DR",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799273393",
            "telephone_number": "915-215-9491"
        },
        {
            "country_code": "MX",
            "country_name": "Mexico",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "VALLE DEL SOL 1971-6",
            "city": "CD.JUAREZ",
            "state": "CHIHUAHUA",
            "postal_code": "32459",
            "telephone_number": "915-215-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ ADAME",
        "first_name": "NORA",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "09586311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.