Tyrone F. Rodriguez, D.D.S., P.L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010610 Issued in WA

Legal business name

TYRONE F. RODRIGUEZ, D.D.S., P.L.L.C.

Doing business as

Smilesonrisas Dental

Practice address

825 Sharon Ave E
Moses Lake, WA 98837-2441

Phone

(509) 766-9030

Fax

(509) 766-5624

NPI assigned

Jun 7, 2011

Last updated

Jun 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyrone F Rodriguez, D.D.S.NPI 1366598880

Title

Managing Member

Phone

(509) 766-9030

Specialties & licenses 1

Addresses

Other names 1

• Smilesonrisas Dental Doing business as

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.

• Tyrone Fernando Rodriguez, D.D.S.

  • Pediatric Dentistry
  • Sugar Land, TX
  • NPI 1366598880
  NPD (past) Authorized official

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1720372675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SHARON AVE E",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372441",
            "telephone_number": "509-766-9030",
            "fax_number": "509-766-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SHARON AVE E",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372441",
            "telephone_number": "509-766-9030",
            "fax_number": "509-766-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRONE F. RODRIGUEZ, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "509-766-9030",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smilesonrisas Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian C. Truong, MD
• Diane Truscott, MSW
• Tatyana Turchik
• Paula D Turner, MS, CCC-SLP
• Thomas R Tuszynski, MD
• Keith M Ulnick, DO
• Amy Umberger, MSW
• United Backcare PS (Pacific Rehabilitation Centers)
• Jiselle S Urbano
• Brooke Valdez, MS, BS, CAAL

• Dentist in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.