Pedro Hiram Rodriguez, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31113 Issued in CA

Practice address

8847 Imperial Hwy
Ste. J
Downey, CA 90242-3958

Phone

(562) 904-1100

Fax

(562) 904-3867

NPI assigned

Sep 13, 2006

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 15, 2015 through Oct 15, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• P. Hiram Rodriguez D.D.S.

  • General Practice Dentistry
  • Downey, CA
  • NPI 1467633438
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518062785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8847 IMPERIAL HWY",
            "address_2": "STE. J",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423958",
            "telephone_number": "562-904-1100",
            "fax_number": "562-904-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8847 IMPERIAL HWY",
            "address_2": "STE. J",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423958",
            "telephone_number": "562-904-1100",
            "fax_number": "562-904-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PEDRO",
        "middle_name": "HIRAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Rodriguez
• Martha Lidia Rodriguez, M.D.
• Mayra Rodriguez
• Miguel A Rodriguez, MD
• Nancy Rodriguez
• Raul Alvarez Rodriguez Sr., DDS
• Sonia Rodriguez
• Yesenia Rodriguez
• Yvonne Marie Rodriguez, D.D.S.
• Marisa Rohrer, OTR/L

• General Practice Dentistry in Downey, CA
• Providers in Downey, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.