Individual provider Active NPI

Sandy Cassandra Rodney, D.M.D.

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1770920985
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8910 Issued in AZ
Practice address
3101 W Indian School Rd
Phoenix, AZ 85017-4035
Phone
(602) 861-3333
Fax
(602) 682-7733
NPI assigned
May 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20007 FL
General Practice Dentistry 1223G0001X D8910 AZ Primary

Addresses

Primary practice location

3101 W Indian School Rd
Phoenix, AZ 85017-4035

Mailing address

3101 W Indian School Rd
Phoenix, AZ 85017-4035
Phone (602) 861-3333

Other practice location 1

2256 Heitman St
Fort Myers, FL 33901-3744
Phone (239) 278-3600

Other practice location 2

1819 W Dunlap Ave
Phoenix, AZ 85021-4375
Phone (602) 861-3333

Other identifiers 1

IdentifierTypeStateIssuer
128506MedicaidAZ

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

LicenseStateTypeSpecialty
DN20007FLMDDentist
D8910AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of Southwest Florida Past Accepting new patients
Cute Smiles 4 Kids General Practice Past Accepting new patients
Sdcaz LLC General Practice PastSince Apr 6, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73767

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.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770920985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174035",
            "telephone_number": "602-861-3333",
            "fax_number": "602-682-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174035",
            "telephone_number": "602-861-3333",
            "fax_number": "602-682-7733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2256 Heitman St",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339013744",
            "country_code": "US",
            "telephone_number": "239-278-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1819 W Dunlap Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850214375",
            "country_code": "US",
            "telephone_number": "602-861-3333",
            "fax_number": "602-861-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODNEY",
        "first_name": "SANDY",
        "middle_name": "CASSANDRA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20007",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D8910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128506",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.