Ian Manuel Rodriguez-Aponte, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901602275 Issued in MI

Practice address

18900 W 10 Mile Rd
Southfield, MI 48075-2669

Phone

(248) 565-3332

NPI assigned

Apr 19, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1487397162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N WILSON AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672040",
            "telephone_number": "954-805-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18900 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752669",
            "telephone_number": "248-565-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22241 John R Rd",
            "address_purpose": "LOCATION",
            "city": "Hazel Park",
            "state": "MI",
            "postal_code": "480301716",
            "country_code": "US",
            "telephone_number": "248-336-0356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1265 W Huron St",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483283677",
            "country_code": "US",
            "telephone_number": "248-977-3327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-APONTE",
        "first_name": "IAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-19",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901602275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejita Rodas-Mazariegos
• Sharon Roddy, M.D.
• Jody Rodgers
• Lawrence Rodgers
• Harold H.D. Rodner, M.D.
• Autumn Rodriguez-Constance, MS
• Jrio Rodriguez
• Miranda Ann Rodriguez
• Sasha Rodriguez
• Sherena Rodriguez, DPT

• Pediatric Dentistry in Southfield, MI
• Providers in Southfield, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.