Active NPI
Cristina Rodriguez, DDS
- Dentist
- Houston, TX
National Provider Identifier
1598876336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21866
- Practice address
- Amida Dental 9824 Fondren Rd
Houston, TX 77096 - Phone
- (713) 270-8555
- Fax
- (713) 270-8268
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 21866 | TX | Primary |
Addresses
Primary practice location
Amida Dental 9824 Fondren Rd
Houston, TX 77096
Mailing address
9824 Fondren Rd Amida Dental
Houston, TX 77096
Phone (713) 270-8555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 821866 1 | Other | TX | CHIP |
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 |
|---|---|---|---|
| 21866 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598876336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9824 FONDREN RD AMIDA DENTAL",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77096",
"telephone_number": "713-270-8555",
"fax_number": "713-270-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AMIDA DENTAL 9824 FONDREN RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77096",
"telephone_number": "713-270-8555",
"fax_number": "713-270-8268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "CRISTINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "21866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP",
"identifier": "821866 1",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.