Dr. Guillermo Rodriguez Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. GUILLERMO RODRIGUEZ DENTAL CORP

Practice address

3200 Adams Ave
202
San Diego, CA 92116-1643

Phone

(619) 282-7094

Fax

(619) 282-2514

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Guillermo RodriguezNPI 1104955855

Title

Owner

Phone

(619) 282-7094

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guillermo Rodriguez, DDS

  • Dentist
  • San Diego, CA
  • NPI 1104955855
  NPD (past) Authorized official

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1609067321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 ADAMS AVE",
            "address_2": "202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161643",
            "telephone_number": "619-282-7094",
            "fax_number": "619-282-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 ADAMS AVE",
            "address_2": "202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161643",
            "telephone_number": "619-282-7094",
            "fax_number": "619-282-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GUILLERMO RODRIGUEZ DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-282-7094",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.