Active NPI
Alci Rodriguez Fernandez Sr.
- Dentist
- Boston, MA
National Provider Identifier
1386336568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859879
- Practice address
- 63 Court St
Boston, MA 02108-2109 - Phone
- (617) 997-4225
- NPI assigned
- May 24, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN1859879 | MA | Primary |
Addresses
Primary practice location
63 Court St
Boston, MA 02108-2109
Mailing address
10 Symphony Rd
Boston, MA 02115-4053
Phone (857) 241-7762
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859879 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693699200000",
"number": "1386336568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SYMPHONY RD",
"city": "BOSTON",
"state": "MA",
"postal_code": "021154053",
"telephone_number": "857-241-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 COURT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021082109",
"telephone_number": "617-997-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ FERNANDEZ",
"first_name": "ALCI",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2023-09-03",
"certification_date": "2023-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
- Stephanie Rodrigues
- Yelena Miridis Rodriguez Acosta
- Victoria Eugenia Rodriguez Castellanos, MD
- Alfonso Rodriguez Espada, MD
- Yomary Rodriguez Estrella
- Sophia Rodriguez Flores, M.S., BCBA, LABA
- Rosalba Rodriguez Garcia
- Diego Alejandro Rodriguez Gomez, MD
- Frances Rodriguez Lara, MD
- Maria Rodriguez Perez, M.D., F.E.B.T.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.