Organization Active NPI

Rodriguez Dental

  • Dental Clinic/Center
  • Roma, TX
National Provider Identifier
1477112829
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RODRIGUEZ DENTAL
Practice address
630 E Bravo Blvd
Roma, TX 78584-5740
Phone
(956) 849-7050
NPI assigned
Jun 10, 2019
Last updated
Jun 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Ms. Elizabeth Gomez
Title
Dental Assistant
Phone
(956) 849-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

630 E Bravo Blvd
Roma, TX 78584-5740

Mailing address

630 E Bravo Blvd
Roma, TX 78584-5740
Phone (956) 849-7050

National Provider Directory

National Provider Directory

Locations

630 E Bravo Blvd
Roma, TX 78584
Phone (956) 849-1818

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1477112829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E BRAVO BLVD",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785845740",
            "telephone_number": "956-849-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E BRAVO BLVD",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785845740",
            "telephone_number": "956-849-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODRIGUEZ DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTAL ASSISTANT",
        "authorized_official_telephone_number": "956-849-7050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roma, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.