Active NPI
Noelvis Rodriguez
- Dentist
- Perry, FL
National Provider Identifier
1821832510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29100
- Practice address
- 313 N Jefferson St
Perry, FL 32347-2653 - Phone
- (850) 584-2674
- NPI assigned
- Jun 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29100 | FL | Primary |
Addresses
Primary practice location
313 N Jefferson St
Perry, FL 32347-2653
Mailing address
1894 Merchants Row Blvd Apt 618
Tallahassee, FL 32311-8875
Phone (832) 792-7875
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29100 | FL | MD | Developmentally Disabled Services Day Training Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgan Family Dentistry PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Perry, FL
- NPI 1699907311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1821832510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1894 MERCHANTS ROW BLVD APT 618",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323118875",
"telephone_number": "832-792-7875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 N JEFFERSON ST",
"city": "PERRY",
"state": "FL",
"postal_code": "323472653",
"telephone_number": "850-584-2674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "NOELVIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-19",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "29100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.