Individual provider Active NPI

Steven Robert Rodriguez, DDS

  • General Practice Dentistry
  • Dexter, MI
National Provider Identifier
1518029883
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015703 Issued in MI
Practice address
9477 North Territorial
Suite 130
Dexter, MI 48130
Phone
(734) 424-9671
Fax
(734) 424-9675
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2901015703 MI Primary

Addresses

Primary practice location

9477 North Territorial
Suite 130
Dexter, MI 48130

Mailing address

9477 North Territorial
Suite 130
Dexter, MI 48130
Phone (734) 424-9671

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160725001069 MI Order and Referring Only - DentistPractitioner - Dentist 4385937671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Streamline Surgical Solutions Michigan PLLC Current Accepting new patients
Sunrise Family Dental Associates General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518029883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9477 NORTH TERRITORIAL",
            "address_2": "SUITE 130",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "48130",
            "telephone_number": "734-424-9671",
            "fax_number": "734-424-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9477 NORTH TERRITORIAL",
            "address_2": "SUITE 130",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "48130",
            "telephone_number": "734-424-9671",
            "fax_number": "734-424-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "STEVEN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

Verify at the official NPI Registry.