Active NPI
Julio H Rodriguez, DDS
- Dentist
- Brodhead, WI
National Provider Identifier
1730243353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3063
- Practice address
- 702 23Rd St
Brodhead, WI 53520-1939 - Phone
- (608) 897-8645
- Fax
- (608) 897-8646
- NPI assigned
- Dec 20, 2006
- Last updated
- Jul 8, 2007
- 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 | 3063 | WI | Primary |
Addresses
Primary practice location
702 23Rd St
Brodhead, WI 53520-1939
Mailing address
702 23Rd St
Brodhead, WI 53520-1939
Phone (608) 897-8645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33450000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3063 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730243353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 23RD ST",
"city": "BRODHEAD",
"state": "WI",
"postal_code": "535201939",
"telephone_number": "608-897-8645",
"fax_number": "608-897-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 23RD ST",
"city": "BRODHEAD",
"state": "WI",
"postal_code": "535201939",
"telephone_number": "608-897-8645",
"fax_number": "608-897-8646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JULIO",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "3063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33450000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brodhead, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.