Christopher Rodriguez, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

103770 Issued in CA

Practice address

634 N 13TH St
San Jose, CA 95112-3012

Phone

(408) 288-5499

NPI assigned

Sep 12, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1376193235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 N 13TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 N 13TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123012",
            "telephone_number": "408-288-5499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "634 N 13th St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951123012",
            "country_code": "US",
            "telephone_number": "408-288-5499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.osdcf.org/",
            "affiliation": "N",
            "address_1": "3180 Newberry Dr Ste 200",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carla Rodriguez
• Carmen Marie Rodriguez
• Carolina Rodriguez, DDS
• Catherine Rodriguez, MA
• Celeste Janaley Rodriguez
• Cindy Rodriguez
• Claudia Rodriguez
• Claudia Rodriguez
• Concepcion Rodriguez
• Cynthia Rodriguez

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.