Active NPI
Rodlin Jerome DDS PA
- Dentist
- Miami Gardens, FL
National Provider Identifier
1710220447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN19632
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.