Individual provider Active NPI

Anna Maria Rodriguez, DMD

  • General Practice Dentistry
  • Winston Salem, NC
National Provider Identifier
1588155147
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11486 Issued in NC
Practice address
3801 Indiana Ave
Winston-Salem, NC 27105-8202
Phone
(336) 744-1300
NPI assigned
May 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
General Practice Dentistry 1223G0001X 11486 NC Primary

Addresses

Primary practice location

3801 Indiana Ave
Winston-Salem, NC 27105-8202

Mailing address

5222 Michaux Rd
Greensboro, NC 27410
Phone (336) 906-3256

Other practice location 1

140 N. Pointe Blvd
Mt. Airy, NC 27030-8202
Phone (888) 477-2555

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

LicenseStateTypeSpecialty
11486NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric J. Sadler, D.D.S., PA General Practice PastSince Feb 7, 2021 Accepting new patients
Providence Anesthesiology Associates, P.a. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1588155147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 MICHAUX RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "336-906-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 INDIANA AVE",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271058202",
            "telephone_number": "336-744-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 N. Pointe Blvd",
            "address_purpose": "LOCATION",
            "city": "Mt. Airy",
            "state": "NC",
            "postal_code": "270308202",
            "country_code": "US",
            "telephone_number": "888-477-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-19",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.