Active NPI
Juan C Rodriguez, D.D.S.
- General Practice Dentistry
- Amarillo, TX
National Provider Identifier
1821135377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2194
- Practice address
- 6010 W Amarillo Blvd
Amarillo, TX 79106-1990 - Phone
- (806) 355-9703
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D02194 | PR | |
| General Practice Dentistry | 1223G0001X | 2194 | PR | Primary |
Addresses
Primary practice location
6010 W Amarillo Blvd
Amarillo, TX 79106-1990
Mailing address
6010 W Amarillo Blvd
Amarillo, TX 79106-1990
Phone (806) 355-9703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5549010 | Medicaid | SD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D02194 | PR | MD | Dentist |
| 2194 | PR | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1821135377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 W AMARILLO BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061990",
"telephone_number": "806-355-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 W AMARILLO BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061990",
"telephone_number": "806-355-9703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JUAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "D02194",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "2194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5549010",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.