Graciela Rodriguez DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24146 Issued in TX

Legal business name

GRACIELA RODRIGUEZ DDS PA

Practice address

15634 Wallisville Rd
Suite 900
Houston, TX 77049-4635

Phone

(713) 968-9842

Fax

(504) 617-6430

NPI assigned

Mar 25, 2010

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Graciela Rodriguez, DDS

Title

President

Phone

(713) 968-9842

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1790009355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15634 WALLISVILLE RD",
            "address_2": "SUITE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770494635",
            "telephone_number": "713-968-9842",
            "fax_number": "504-617-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15634 WALLISVILLE RD",
            "address_2": "SUITE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770494635",
            "telephone_number": "713-968-9842",
            "fax_number": "504-617-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIELA RODRIGUEZ DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-968-9842",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "24146",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.