Individual provider Active NPI

Paola Rodriguez, DDS

  • Dentist
  • Plantation, FL
National Provider Identifier
1568774750
Registry record updated Aug 7, 2026
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN31479. Issued in FL
Practice address
7500 NW 5TH St Ste 107
Plantation, FL 33317-1612
Phone
(954) 682-8000
NPI assigned
Jul 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN31479. FL Primary

Addresses

Primary practice location

7500 NW 5TH St Ste 107
Plantation, FL 33317-1612

Mailing address

1502 Blue Jay Cir
Weston, FL 33327-2006
Phone (561) 513-7913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180823002630 CT Order and Referring Only - DentistPractitioner - Dentist 6406105444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1568774750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 BLUE JAY CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272006",
            "telephone_number": "561-513-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 NW 5TH ST STE 107",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171612",
            "telephone_number": "954-682-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PAOLA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-05",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN31479.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.