Active NPI
Gretchen Barban Rodriguez, DDS
- Dentist
- Hialeah, FL
National Provider Identifier
1548629918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22946
- Practice address
- 1544 W 37TH St
Hialeah, FL 33012 - Phone
- (305) 558-9222
- NPI assigned
- Feb 15, 2016
- Last updated
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22946 | FL | Primary |
Addresses
Primary practice location
1544 W 37TH St
Hialeah, FL 33012
Mailing address
9678 Fontainebleau Blvd
Apt 106
Miami, FL 33172
Phone (786) 853-4895
Other practice location 1
7801 Coral Way #100
Miami, FL 33155
Phone (786) 853-4895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22946 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CM Dental Group Inc | Dentist | Past | Accepting new patients |
| Hialeah City Dental | Dentist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
-
- Dentist
- Hialeah, FL
- NPI 1568947034
-
- Dentist
- Hialeah, FL
- NPI 1386175404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1548629918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9678 FONTAINEBLEAU BLVD",
"address_2": "APT 106",
"city": "MIAMI",
"state": "FL",
"postal_code": "33172",
"telephone_number": "786-853-4895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 W 37TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33012",
"telephone_number": "305-558-9222"
}
],
"practiceLocations": [
{
"address_1": "7801 Coral Way #100",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "33155",
"country_code": "US",
"telephone_number": "786-853-4895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARBAN RODRIGUEZ",
"first_name": "GRETCHEN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "22946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.