Active NPI
Maria Carla Rodriguez, D.M.D.
- General Practice Dentistry
- Lexington, KY
National Provider Identifier
1619070232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5327
- Practice address
- 800 Rose St, D104
Uk College of Dentistry
Lexington, KY 40536 - Phone
- (859) 323-3368
- NPI assigned
- Sep 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5327 | KY | |
| General Practice Dentistry | 1223G0001X | 5327 | KY | Primary |
Addresses
Primary practice location
800 Rose St, D104
Uk College of Dentistry
Lexington, KY 40536
Mailing address
800 Rose St, D104
Uk College of Dentistry
Lexington, KY 40536
Phone (859) 323-3368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45001278 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
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": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1619070232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROSE ST, D104",
"address_2": "UK COLLEGE OF DENTISTRY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40536",
"telephone_number": "859-323-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST, D104",
"address_2": "UK COLLEGE OF DENTISTRY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40536",
"telephone_number": "859-323-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARIA",
"middle_name": "CARLA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "5327",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "5327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45001278",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.