Organization Active NPI

Leopoldo Rodriguez DDS, LLC

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1720109085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2481 Issued in CO
Legal business name
LEOPOLDO RODRIGUEZ DDS, LLC
Practice address
1304 N Academy Blvd
Suite 104
Colorado Springs, CO 80909-3325
Phone
(719) 596-3939
Fax
(719) 573-9267
NPI assigned
Apr 3, 2007
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
Dr. Leopoldo Rodriguez, DDSNPI 1780808972
Title
Owner
Phone
(719) 596-3939

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2481 CO Primary

Addresses

Primary practice location

1304 N Academy Blvd
Suite 104
Colorado Springs, CO 80909-3325

Mailing address

1304 N Academy Blvd
Suite 104
Colorado Springs, CO 80909-3325
Phone (719) 596-3939

Other names 1

  • Leopoldo Rodriguez DDS, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1304 N Academy Blvd
Ste 104
Colorado Springs, CO 80909
Phone (719) 473-4434

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720109085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BLVD",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093325",
            "telephone_number": "719-596-3939",
            "fax_number": "719-573-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BLVD",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093325",
            "telephone_number": "719-596-3939",
            "fax_number": "719-573-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEOPOLDO RODRIGUEZ DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LEOPOLDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-596-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "2481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leopoldo Rodriguez DDS, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colorado Springs, CO

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.