John G Rodriguez, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

14566 Issued in TX

Practice address

2939 Regency Dr
Edinburg, TX 78539-2216

Phone

(956) 630-4900

Fax

(956) 682-9806

NPI assigned

Oct 31, 2006

Last updated

Apr 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1548346653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 REGENCY DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785392216",
            "telephone_number": "956-630-4900",
            "fax_number": "956-682-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 REGENCY DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785392216",
            "telephone_number": "956-630-4900",
            "fax_number": "956-682-9806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 Airline Rd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784123910",
            "country_code": "US",
            "telephone_number": "361-600-4847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14566",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "14566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "693641",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER (TEXAS)",
            "identifier": "D14566",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120777102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP PROVIDER ID",
            "identifier": "B14566",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janessa Gorena Rodriguez, LPC
• Javier Rodriguez, APRN, BC, CNS
• Javier Antonio Rodriguez, PA
• Javier Nazario Rodriguez, LPC
• Joanna Isabel Rodriguez
• Julia C Rodriguez, LBSW
• Karina Michelle Rodriguez
• Kladel Rodriguez
• Lana Alexandra Rodriguez, LPC
• Laura Yvette Rodriguez, PHARMD

• Dentist in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.