Active NPI
Patrick Rodgers, DMD
- General Practice Dentistry
- Davenport, IA
National Provider Identifier
1659164747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS-10339
- Practice address
- 5216 Sheridan St Ste 160
Davenport, IA 52806-3972 - Phone
- (563) 724-5427
- NPI assigned
- May 22, 2025
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS-10339 | IA | Primary |
Addresses
Primary practice location
5216 Sheridan St Ste 160
Davenport, IA 52806-3972
Mailing address
2530 46TH Ave N
Saint Petersburg, FL 33714-3954
Phone (727) 501-6662
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 |
|---|---|---|---|
| DDS-10339 | IA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1659164747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 46TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337143954",
"telephone_number": "727-501-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5216 SHERIDAN ST STE 160",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528063972",
"telephone_number": "563-724-5427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "PATRICK",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-22",
"last_updated": "2025-05-22",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "DDS-10339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
- Rock Valley Physical Therapy Center
- Rock Valley Physical Therapy Center
- Rock Valley Physical Therapy Center
- Kathryn Lee Rockafellow, D.P.T.
- Rocky Mountain Holdings, LLC
- Rodriguez & Associates, LTD
- Jose Guadalupe Rodriguez Jr., PHARMD
- Christopher Bernard Roecker, DC
- Todd Jon Roehr, MD
- Kathleen Elise Rogalski Goetz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.