Active NPI
Waren Omar Rodriguez-Carlo, DMD
- Dentist
- Dallas, TX
National Provider Identifier
1720443682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31614
- Practice address
- 4500 S Lancaster Rd
Dallas, TX 75216-7167 - Phone
- (214) 742-8387
- NPI assigned
- Dec 20, 2015
- Last updated
- Dec 20, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 31614 | TX | Primary |
Addresses
Primary practice location
4500 S Lancaster Rd
Dallas, TX 75216-7167
Mailing address
1855 Payne St Apt 526
Dallas, TX 75201-2568
Phone (407) 463-2757
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31614 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450569600000",
"number": "1720443682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 PAYNE ST APT 526",
"city": "DALLAS",
"state": "TX",
"postal_code": "752012568",
"telephone_number": "407-463-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S LANCASTER RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167167",
"telephone_number": "214-742-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ-CARLO",
"first_name": "WAREN",
"middle_name": "OMAR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-20",
"last_updated": "2015-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "31614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Dariela Rodriguez Quiroga
- Carolina Isabel Rodriguez Rivera, MD
- Walter Rene Rodriguez Vasquez
- Norberto Rodriguez-Baez, MD
- Angiebel Marie Rodriguez-Cabral, M.S., PSY.D.
- Diana Rodriguez-Carrillo
- Linda Rodriguez-Gilmore, FNP
- Myriam Janet Rodriguez-Laguer, M.D.
- Marivelisse Rodriguez-Rivera, PSY.D.
- Roberto Rodriguez-Ruesga, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.