Organization Active NPI

Steven J. Rodriguez D.D.S. P.a.

  • General Practice Dentistry
  • Killeen, TX
National Provider Identifier
1427323229
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17511 Issued in TX
Legal business name
STEVEN J. RODRIGUEZ D.D.S. P.A.
Doing business as
Loop Dental Clinic
Practice address
301 W Stan Schlueter Loop
Killeen, TX 76542-5282
Phone
(254) 690-8844
Fax
(254) 634-8844
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Ms. Vernice Y. Parker
Title
Office Manager
Phone
(254) 690-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 17511 TX Primary

Addresses

Primary practice location

301 W Stan Schlueter Loop
Killeen, TX 76542-5282

Mailing address

PO Box 11209
Killeen, TX 76547-1209
Phone (254) 690-8844

Other names 1

  • Loop Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

301 W Stan Schlueter Loop
Killeen, TX 76542
Phone (254) 690-8842

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1427323229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11209",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765471209",
            "telephone_number": "254-690-8844",
            "fax_number": "254-634-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W STAN SCHLUETER LOOP",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425282",
            "telephone_number": "254-690-8844",
            "fax_number": "254-634-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J. RODRIGUEZ D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "VERNICE",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "254-690-8844",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loop Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.