Amy Katherine Rodriguez, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

019.027947 Issued in IL

Practice address

719 Lake St
Oak Park, IL 60301-1406

Phone

(708) 386-3200

NPI assigned

Jun 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy Tooth Dental, LLC

  • General Practice Dentistry
  • Oak Park, IL
  • NPI 1669706800
  NPD (past)

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1447486618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 PRAIRIE AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605132502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011406",
            "telephone_number": "708-386-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "AMY",
        "middle_name": "KATHERINE",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.027947",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latonya Robinson, NP-C / PMHNP
• Trista D. Robinson, B.S., M.A., BCBA
• Michael R. Roche, M.D.
• Annamarie Rodney, CLD, CPD, NCS
• Patricia Rodriguez Lantigua
• Brenda Rodriguez
• Jessica Alicia Rodriguez, MED
• Samantha Jackelyn Rodriguez
• Roger a. Lupei PHD P C
• Camiesa Rashida Rogers

• Dentist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.

Verify at the official NPI Registry.