Organization Active NPI

Eduardoc. Rodriguez D.D.S, P.a, DBS Perla Dental

  • Dentist
  • Houston, TX
National Provider Identifier
1396992491
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23443 Issued in TX
Legal business name
EDUARDOC. RODRIGUEZ D.D.S, P.A, DBS PERLA DENTAL
Practice address
11595 S Wilcrest Dr Ste B
Houston, TX 77099-4752
Phone
(281) 983-5200
Fax
(281) 983-5204
NPI assigned
Aug 20, 2008
Last updated
Aug 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Eduardo Campos Rodriguez, D.D.S
Title
D.D.S
Phone
(281) 983-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23443 TX Primary

Addresses

Primary practice location

11595 S Wilcrest Dr Ste B
Houston, TX 77099-4752

Mailing address

11595 S Wilcrest Dr Ste B
Houston, TX 77099-4752
Phone (281) 983-5200

National Provider Directory

National Provider Directory

Locations

11595 S Wilcrest Dr
Ste B
Houston, TX 77099
Phone (281) 982-5200

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1396992491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11595 S WILCREST DR STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994752",
            "telephone_number": "281-983-5200",
            "fax_number": "281-983-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11595 S WILCREST DR STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994752",
            "telephone_number": "281-983-5200",
            "fax_number": "281-983-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDOC. RODRIGUEZ D.D.S, P.A, DBS PERLA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "CAMPOS",
        "authorized_official_title_or_position": "D.D.S",
        "authorized_official_telephone_number": "281-983-5200",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.