James Rodriguez, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

041948 Issued in NY

Practice address

220 13TH St
Dental Dept
Brooklyn, NY 11215-4802

Phone

(718) 832-9677

Fax

(718) 492-5090

NPI assigned

Oct 4, 2006

Last updated

Feb 5, 2013By the provider in NPPES

Sex

Male

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

Enrolled in NY

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrodriguez26031@northwell.direct-ci.com

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.

• White Hall Dental, PC

  • Dentist
  • New Hyde Park, NY
  • NPI 1376268821
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1811082613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 13TH ST",
            "address_2": "DENTAL DEPT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154802",
            "telephone_number": "718-832-9677",
            "fax_number": "718-492-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 13TH ST",
            "address_2": "DENTAL DEPT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154802",
            "telephone_number": "718-832-9677",
            "fax_number": "718-492-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gino Rodriguez
• Giselle Rodriguez
• Iris Nancy Rodriguez
• Jaelene Rodriguez
• Jaime A Rodriguez, CASE MANAGER
• Jamilla Rosa Rodriguez
• Jasmine Whitney Rodriguez, DNP-FNP-BC
• Jeanette Rodriguez
• Jeniece Rodriguez
• Jennifer Rodriguez

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.