Organization Active NPI

Rodriguez Dental Group, P.a.

  • General Practice Dentistry
  • McAllen, TX
National Provider Identifier
1689782104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RODRIGUEZ DENTAL GROUP, P.A.
Practice address
409 N 10TH St
McAllen, TX 78501-4509
Phone
(956) 687-8331
Fax
(956) 687-5259
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ricardo Rodriguez, D.D.S.NPI 1407958721
Title
Dentist
Phone
(956) 687-8331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

409 N 10TH St
McAllen, TX 78501-4509

Mailing address

409 N 10TH St
McAllen, TX 78501-4509
Phone (956) 687-8331

Other identifiers 1

IdentifierTypeStateIssuer
1113219MedicaidTX

National Provider Directory

National Provider Directory

Locations

409 N 10th St
McAllen, TX 78501
Phone (956) 687-8331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689782104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014509",
            "telephone_number": "956-687-8331",
            "fax_number": "956-687-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014509",
            "telephone_number": "956-687-8331",
            "fax_number": "956-687-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODRIGUEZ DENTAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-687-8331",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1113219",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.