Individual provider Active NPI

Rodrigo I Echeverri, DMD

  • General Practice Dentistry
  • Morristown, NJ
National Provider Identifier
1467614479
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DO17553 Issued in NJ
Practice address
35 Pine St
Morristown, NJ 07960-9431
Phone
(973) 984-1818
Fax
(973) 984-3131
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DO17553 NJ Primary

Addresses

Primary practice location

35 Pine St
Morristown, NJ 07960-9431

Mailing address

35 Pine St
Morristown, NJ 07960-9431
Phone (973) 984-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO17553NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1467614479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PINE ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079609431",
            "telephone_number": "973-984-1818",
            "fax_number": "973-984-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PINE ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079609431",
            "telephone_number": "973-984-1818",
            "fax_number": "973-984-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVERRI",
        "first_name": "RODRIGO",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DO17553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.