Active NPI
Rafael Francisco Diaz Rodriguez, DMD
- General Practice Dentistry
- Spring, TX
National Provider Identifier
1396952495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23149
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23149 | Other | TX | TEXAS 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181101001008 | PR | Order and Referring Only - Dentist | 5496008872 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23149 | TX | MD | General Practice Dentistry |
| 1827 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grupo de Odontologia Cosmetica Y Ortodoncia | General Practice | Current | Accepting new patients |
| Orthodontics and Cosmetic Dentistry Houston Group PA | General Practice | Current | 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.
-
- General Practice Dentistry
- Spring, TX
- NPI 1356586986
-
- General Practice Dentistry
- Guayanilla, PR
- NPI 1144300203
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.