Active NPI
Raymond Michael Rodriguez, DMD
- Prosthodontics
- Dallas, TX
National Provider Identifier
1649380072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 22039TX
- Practice address
- 6009 Beltline Rd
Suite 224
Dallas, TX 75254 - Phone
- (972) 934-8255
- Fax
- (972) 934-8262
- NPI assigned
- Aug 30, 2006
- Last updated
- Nov 7, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 22039TX | TX | Primary |
Addresses
Primary practice location
6009 Beltline Rd
Suite 224
Dallas, TX 75254
Mailing address
5157 Lake Creek CT
Frisco, TX 75035
Phone (972) 987-7076
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 22, 2016 through Mar 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22039TX | TX | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1649380072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5157 LAKE CREEK CT",
"city": "FRISCO",
"state": "TX",
"postal_code": "75035",
"telephone_number": "972-987-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6009 BELTLINE RD",
"address_2": "SUITE 224",
"city": "DALLAS",
"state": "TX",
"postal_code": "75254",
"telephone_number": "972-934-8255",
"fax_number": "972-934-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RAYMOND",
"middle_name": "MICHAEL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TX",
"license": "22039TX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Mayte Rodriguez, MD
- Nancy Rodriguez, M.S.-CCC/SLP
- Patricia A. Rodriguez, M.D.
- Princess Alejandra Rodriguez, M.S.W
- Raul Pedro Rodriguez, M.D.
- Richard David Rodriguez Jr., OTD
- Richard Spano Rodriguez Jr.
- Roberto Rodriguez, SOCIAL WORK LCSW
- Rodney Alan Rodriguez II, COA
- Ronald Andrew Rodriguez, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.