Individual provider Active NPI

Roberto Jose Rodriguez, DMD

  • Dentist
  • Delray Beach, FL
National Provider Identifier
1821833617
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN29181 Issued in FL
Practice address
5130 Linton Blvd Ste E3
Delray Beach, FL 33484-6595
Phone
(561) 763-5943
NPI assigned
Jun 25, 2024
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN29181 FL Primary

Addresses

Primary practice location

5130 Linton Blvd Ste E3
Delray Beach, FL 33484-6595

Mailing address

51 NE 46TH St
Oakland Park, FL 33334-1543
Phone (813) 493-2527

Other practice location 1

9050 Pines Blvd Ste 420
Pembroke Pines, FL 33024-6443
Phone (954) 697-4533

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

LicenseStateTypeSpecialty
DN29181FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Implant 24HRS Pembroke Pines LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

9050 Pines Blvd
Ste 420
Pembroke Pines, FL 33024
Phone (954) 432-7025

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1821833617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 NE 46TH ST",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341543",
            "telephone_number": "813-493-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 LINTON BLVD STE E3",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846595",
            "telephone_number": "561-763-5943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9050 Pines Blvd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246443",
            "country_code": "US",
            "telephone_number": "954-697-4533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ROBERTO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.