NPIMap

Organization Active NPI

Dr. J. Andres Rodriguez DMD PC

  • Dentist
  • Boston, MA
National Provider Identifier
1821179201
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18674 Issued in MA
Legal business name
DR. J. ANDRES RODRIGUEZ DMD PC
Practice address
359 Boylston St
Penthouse #6
Boston, MA 02116-3304
Phone
(617) 262-1422
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jorge A. Rodriguez, D.M.D.NPI 1447429733
Title
President
Phone
(617) 262-1422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18674 MA Primary

Addresses

Primary practice location

359 Boylston St
Penthouse #6
Boston, MA 02116-3304

Mailing address

359 Boylston Street
Penthouse #6
Boston, MA 02116-3304
Phone (617) 262-1422

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821179201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 BOYLSTON STREET",
            "address_2": "PENTHOUSE #6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163304",
            "telephone_number": "617-262-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 BOYLSTON ST",
            "address_2": "PENTHOUSE #6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163304",
            "telephone_number": "617-262-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. J. ANDRES RODRIGUEZ DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-262-1422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.