Organization Active NPI

Rolando Reyes Rodriguez, DMD, P.C.

  • General Practice Dentistry
  • Chantilly, VA
National Provider Identifier
1457098345
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROLANDO REYES RODRIGUEZ, DMD, P.C.
Practice address
13868 Metrotech Dr
Chantilly, VA 20151-3242
Phone
(571) 370-3340
NPI assigned
May 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Rolando Reyes Rodriguez, DMD
Title
Owner
Phone
(571) 370-3340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

13868 Metrotech Dr
Chantilly, VA 20151-3242

Mailing address

13868 Metrotech Dr
Chantilly, VA 20151-3242
Phone (571) 370-3340

National Provider Directory

National Provider Directory

Locations

13868 Metrotech Dr
Chantilly, VA 20151
Phone (571) 370-3340

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1457098345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13868 METROTECH DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513242",
            "telephone_number": "571-370-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13868 METROTECH DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513242",
            "telephone_number": "571-370-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLANDO REYES RODRIGUEZ, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "REYES RODRIGUEZ",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-370-3340",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.