Jessica Rodrigues, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11343 Issued in SC

Practice address

1209 N Retail CT
Myrtle Beach, SC 29577-9626

Phone

(843) 874-4060

NPI assigned

Jun 13, 2025

Last updated

May 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jebediah S. Christy, DDS - Myrtle Beach PLLC

  • General Practice Dentistry
  • Myrtle Beach, SC
  • NPI 1518336924
  NPD (past)
• Park Dental New Jersey PC

  • General Practice Dentistry
  • Paterson, NJ
  • NPI 1033039581
  NPD (past)

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1750277083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 HIGHWAY 90",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269602",
            "telephone_number": "209-373-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N RETAIL CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779626",
            "telephone_number": "843-874-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "11343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robinson
• Olivia Lauren Robinson, BCBA
• Elliott Tristan Rodgers, OTR/L
• Keziah Rodgers
• Eugene Bonnette Rodrick, MD, PHD
• Euleidys Michelle Rodriguez Rosario
• Jonathan Rodriguez, DO
• Joseph Rodriguez, DMD
• Woodrow Anthony Roeback III, CPC, CRC, LPC
• Rogers Chiropractic LLC

• General Practice Dentistry in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2026; 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.