Organization Active NPI

Jordan Rodriguez D.D.S Apc

  • General Practice Dentistry
  • Hesperia, CA
National Provider Identifier
1497565881
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JORDAN RODRIGUEZ D.D.S APC
Practice address
13325 Main St Ste 104
Hesperia, CA 92345-9111
Phone
(760) 995-9144
NPI assigned
Jan 9, 2025
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Jordan Steven Rodriguez, DDSNPI 1831803261
Title
Dentist
Phone
(760) 995-7481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

13325 Main St Ste 104
Hesperia, CA 92345-9111

Mailing address

13325 Main St Ste 104
Hesperia, CA 92345-9111
Phone (760) 995-9144

National Provider Directory

National Provider Directory

Locations

13325 Main St
Ste 104
Hesperia, CA 92345
Phone (760) 995-9144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1497565881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13325 MAIN ST STE 104",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923459111",
            "telephone_number": "760-995-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13325 MAIN ST STE 104",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923459111",
            "telephone_number": "760-995-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN RODRIGUEZ D.D.S APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "760-995-7481",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.