Individual provider Active NPI

Camilo Rodriguez, DMD

  • General Practice Dentistry
  • Boynton Beach, FL
National Provider Identifier
1710409990
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22852 Issued in FL
Practice address
7593 W Boynton Beach Blvd Ste 200
Boynton Beach, FL 33437-6162
Phone
(561) 732-3203
NPI assigned
Jul 10, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22852 FL Primary

Addresses

Primary practice location

7593 W Boynton Beach Blvd Ste 200
Boynton Beach, FL 33437-6162

Mailing address

13866 SW 102ND Ter
Miami, FL 33186-7301
Phone (305) 338-2941

Other practice location 1

12300 S Shore Blvd
Wellington, FL 33414-6509
Phone (561) 204-4494

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

LicenseStateTypeSpecialty
22852FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Best Smiles Road II LLC Current Accepting new patients
Julio de Los Rios DMD PA, Dba Perfect Smile Dentistry II General Practice PastSince May 26, 2024 Accepting new patients
Perfect Smile Dentistry II General Practice Past Accepting new patients

Locations

5970 S Jog Rd
Ste E
Lake Worth, FL 33467
Phone (561) 434-4344

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710409990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13866 SW 102ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867301",
            "telephone_number": "305-338-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7593 W BOYNTON BEACH BLVD STE 200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376162",
            "telephone_number": "561-732-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12300 S Shore Blvd",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146509",
            "country_code": "US",
            "telephone_number": "561-204-4494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CAMILO",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "22852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.