Rodeo Dental & Orthodontics

Primary specialty

DentistTaxonomy code 122300000X

License

28289 Issued in TX

Legal business name

RODEO DENTAL & ORTHODONTICS

Practice address

1141 US Business 77
Ste G
San Benito, TX 78586

Phone

(956) 361-3377

NPI assigned

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Cynthia Gonzalez

Title

Office Biller

Phone

(956) 361-3377

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Rodeo Dental and Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rodeo Dental San Benito, PLLC

  • General Practice Dentistry
  • San Benito, TX
  • NPI 1528350782
  NPD tax ID

Locations

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1447660048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 US BUSINESS 77",
            "address_2": "STE G",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "78586",
            "telephone_number": "956-361-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 US BUSINESS 77",
            "address_2": "STE G",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "78586",
            "telephone_number": "956-361-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEO DENTAL & ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE BILLER",
        "authorized_official_telephone_number": "956-361-3377"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336495738",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jannette Richmond-Gaytan, MS, CCC-SLP
• Adam Seth Riezenman, PHARM D
• Rio Grande Resident Care Inc
• Rising Sun Home Care Inc.
• Sagrario Gutierrez Rivera, APRN
• Rodeo Dental San Benito, PLLC
• David Henry Rodocker, ATC, LAT
• Antia A Rodriguez, BA ASST SLP
• Brian Ray Rodriguez
• Jairo Rodriguez, M.D.

• Dentist in San Benito, TX
• Providers in San Benito, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.