Active NPI
Jacqueline Marguerite Rodriguez, DMD
- General Practice Dentistry
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019031100
- Practice address
- 8 S Michigan Ave Ste 210
Chicago, IL 60603-3475 - Phone
- (312) 283-3757
- NPI assigned
- Jun 22, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019031100 | IL | Primary |
Addresses
Primary practice location
8 S Michigan Ave Ste 210
Chicago, IL 60603-3475
Mailing address
1513 W Thomas St Apt 3
Chicago, IL 60642-3989
Phone (847) 738-7659
Other practice location 1
13033 S La Grange Rd
Palos Park, IL 60464-1718
Phone (708) 361-4300
Other practice location 2
568 S Spring Rd
Elmhurst, IL 60126-3868
Phone (630) 833-5007
Other practice location 3
8 S Michigan Ave Ste 210
Chicago, IL 60603-3475
Phone (312) 283-3757
Other practice location 4
10601 S Western Ave
Chicago, IL 60643-3100
Phone (773) 238-3200
Other practice location 5
10601 S Western Ave
Chicago, IL 60643-3100
Phone (773) 238-3200
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 |
|---|---|---|---|
| 019031100 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacqueline Rodriguez, DMD, P.C. | Current | Accepting new patients | |
| All Perfect Smiles | General Practice | Past | Accepting new patients |
| All Perfect Smiles of Beverly PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Chicago, IL
- NPI 1326784398
-
- Public Health Dentistry
- Chicago, IL
- NPI 1023526852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1750801585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 W THOMAS ST APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606423989",
"telephone_number": "847-738-7659",
"fax_number": "847-738-7659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 S MICHIGAN AVE STE 210",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606033475",
"telephone_number": "312-283-3757"
}
],
"practiceLocations": [
{
"address_1": "13033 S La Grange Rd",
"address_purpose": "LOCATION",
"city": "Palos Park",
"state": "IL",
"postal_code": "604641718",
"country_code": "US",
"telephone_number": "708-361-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "568 S Spring Rd",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "IL",
"postal_code": "601263868",
"country_code": "US",
"telephone_number": "630-833-5007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8 S Michigan Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606033475",
"country_code": "US",
"telephone_number": "312-283-3757",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10601 S Western Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606433100",
"country_code": "US",
"telephone_number": "773-238-3200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10601 S Western Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606433100",
"country_code": "US",
"telephone_number": "773-238-3200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JACQUELINE",
"middle_name": "MARGUERITE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-22",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019031100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.