Lindsey Blair Rodriguez, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6300 Issued in AL

Practice address

22051 US Highway 72 Ste F
Athens, AL 35613-2665

Phone

(256) 434-5667

NPI assigned

Jun 10, 2016

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

Other names 1

• Dr. Lindsey Blair Risdon Former name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lindsey Rodriguez DMD, LLC

  • Pediatric Dentistry
  • Athens, AL
  • NPI 1326631698
  NPD Authorized official

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1780033621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22051 US HIGHWAY 72 STE F",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132665",
            "telephone_number": "256-434-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22051 US HIGHWAY 72 STE F",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132665",
            "telephone_number": "256-434-5667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Meridian St N",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014636",
            "country_code": "US",
            "telephone_number": "256-428-7560",
            "fax_number": "256-428-7560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Tuscumbia",
            "state": "AL",
            "postal_code": "356742409",
            "country_code": "US",
            "telephone_number": "256-320-5778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LINDSEY",
        "middle_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "6300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "RISDON",
            "middle_name": "BLAIR",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roberta Ress, C.N.M., P.C.
• Deirdre G Roberts I, MS
• Jessika Danielle Roberts, PTA
• Warnie Mitchell (Mitch) Robertson, LICSW
• Lisa Mae Rodgers, RPH
• Tammy Bernice Rodriguez, CRNA
• Jennifer E Rogers
• Zariah A Rogers, MSW
• Jada Reedus Ross, MD
• Samantha Clark Ross, M.D.

• Pediatric Dentistry in Athens, AL
• Providers in Athens, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.

Verify at the official NPI Registry.