Organization Active NPI

Andrea M. Rodriguez, DDS

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1366767436
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
23474 Issued in TX
Legal business name
ANDREA M. RODRIGUEZ, DDS
Practice address
8105 Culebra Rd
San Antonio, TX 78251-1634
Phone
(210) 681-9780
Fax
(210) 681-7029
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Dr. Andrea Marie Rodriguez, DDSNPI 1972793271
Title
Dental/Sole Proprietor
Phone
(210) 681-9780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 23474 TX Primary

Addresses

Primary practice location

8105 Culebra Rd
San Antonio, TX 78251-1634

Mailing address

8105 Culebra Rd
San Antonio, TX 78251-1634
Phone (210) 681-9780

Other names 1

  • Smiles of San Antonio Doing business as

National Provider Directory

National Provider Directory

Locations

8105 Culebra Rd
San Antonio, TX 78251
Phone (210) 681-9780

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1366767436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511634",
            "telephone_number": "210-681-9780",
            "fax_number": "210-681-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511634",
            "telephone_number": "210-681-9780",
            "fax_number": "210-681-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA M. RODRIGUEZ, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTAL/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "210-681-9780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "23474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.