Organization Active NPI

Rodlin Jerome DDS PA

  • Dentist
  • Miami Gardens, FL
National Provider Identifier
1710220447
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19632 Issued in FL
Legal business name
RODLIN JEROME DDS PA
Practice address
20823 NW 2ND Ave
Miami Gardens, FL 33169-2103
Phone
(305) 704-8977
Fax
(305) 704-8984
NPI assigned
Apr 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Rodlin Jerome, DDS
Title
Owner
Phone
(305) 704-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN19632 FL Primary

Addresses

Primary practice location

20823 NW 2ND Ave
Miami Gardens, FL 33169-2103

Mailing address

20823 NW 2ND Ave
Miami Gardens, FL 33169-2103
Phone (305) 704-8977

National Provider Directory

National Provider Directory

Locations

20823 NW 2nd Ave
Miami Gardens, FL 33169
Phone (305) 704-8977

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1710220447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20823 NW 2ND AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692103",
            "telephone_number": "305-704-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20823 NW 2ND AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692103",
            "telephone_number": "305-704-8977",
            "fax_number": "305-704-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODLIN JEROME DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "JEROME",
        "authorized_official_first_name": "RODLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-704-8977",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.