Active NPI
Joselita D Rodriguez, MD
- Pediatrics Physician
- Desoto, TX
National Provider Identifier
1689692931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- F6096
- Practice address
- 2727 Bolton Boone Dr Ste 111
Desoto, TX 75115-2019 - Phone
- (972) 298-1878
- Fax
- (972) 298-1952
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | F6096 | TX | Primary |
Addresses
Primary practice location
2727 Bolton Boone Dr Ste 111
Desoto, TX 75115-2019
Mailing address
2727 Bolton Boone Dr Ste 111
Desoto, TX 75115-2019
Phone (972) 298-1878
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125088807 | Medicaid | TX | |
| 141022701 | Medicaid | TX | |
| 125088805 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DSW Pediatrics & Children and Youth Clinic | Pediatrics | Past | Accepting new patients |
| Physicians and Allied Health Professionals Group, PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BDCFBD/Endpoint/BDCFBD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Joselita Rodriguez M.D.
- Pediatrics Physician
- Desoto, TX
- NPI 1043788201
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1689692931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 BOLTON BOONE DR STE 111",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152019",
"telephone_number": "972-298-1878",
"fax_number": "972-298-1952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 BOLTON BOONE DR STE 111",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152019",
"telephone_number": "972-298-1878",
"fax_number": "972-298-1952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JOSELITA",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "F6096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125088807",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141022701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125088805",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.