Active NPI
Viviana Rodriguez Reyes, DMD
- Dentist
- Orlando, FL
National Provider Identifier
1629800396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN29553
- Practice address
- 12329 S Orange Blossom TRL
Orlando, FL 32837-6214 - Phone
- (407) 584-5322
- NPI assigned
- Aug 20, 2024
- 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 | DN29553 | FL | Primary |
Addresses
Primary practice location
12329 S Orange Blossom TRL
Orlando, FL 32837-6214
Mailing address
740 Pickfair Ter
Lake Mary, FL 32746-5811
Phone (305) 902-9570
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 |
|---|---|---|---|
| DN29553 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1629800396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 PICKFAIR TER",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465811",
"telephone_number": "305-902-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12329 S ORANGE BLOSSOM TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376214",
"telephone_number": "407-584-5322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ REYES",
"first_name": "VIVIANA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-20",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN29553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Yaritza Miguelina Rodriguez Ogando
- Jonathan Rodriguez Ortiz, M.D
- Astrid Carolina Rodriguez Perez
- Yahdira Marie Rodriguez Prado, M.D.
- Jeffrey Rodriguez Prunet, D.C.
- Bryan Rodriguez Rodriguez, BCABA
- Ibrahim Roman Rodriguez Rodriguez, PT
- Valentina Rodriguez Rubio
- Patricia Rodriguez Sanchez, DMD
- Diana De la Caridad Rodriguez Suarez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.