Individual provider Active NPI

Rafael Francisco Diaz Rodriguez, DMD

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1396952495
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23149 Issued in TX
Practice address
25326 Oakhurst Dr
Spring, TX 77386-1425
Phone
(832) 616-3117
Fax
(832) 616-3123
NPI assigned
May 17, 2007
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1827 PR
General Practice Dentistry 1223G0001X 23149 TX Primary

Addresses

Primary practice location

25326 Oakhurst Dr
Spring, TX 77386-1425

Mailing address

PO Box 8577
Spring, TX 77387-8577
Phone (832) 616-3117

Other practice location 1

254 Calle Luis Munoz Rivera
Guayanilla, PR 00656-1717
Phone (787) 835-4014

Other identifiers 1

IdentifierTypeStateIssuer
23149OtherTXTEXAS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181101001008 PR Order and Referring Only - DentistPractitioner - Dentist 5496008872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23149TXMDGeneral Practice Dentistry
1827PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo de Odontologia Cosmetica Y Ortodoncia General Practice Current Accepting new patients
Orthodontics and Cosmetic Dentistry Houston Group PA General Practice CurrentSince Jun 1, 2021 Accepting new patients

Locations

25915 Interstate 45
Ste F
Spring, TX 77380

Organizations & group practices 2

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1396952495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8577",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773878577",
            "telephone_number": "832-616-3117",
            "fax_number": "832-616-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25326 OAKHURST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861425",
            "telephone_number": "832-616-3117",
            "fax_number": "832-616-3123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Calle Luis Munoz Rivera",
            "address_purpose": "LOCATION",
            "city": "Guayanilla",
            "state": "PR",
            "postal_code": "006561717",
            "country_code": "US",
            "telephone_number": "787-835-4014",
            "fax_number": "787-835-4014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ RODRIGUEZ",
        "first_name": "RAFAEL",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1827",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "23149",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.