Active NPI
Roberto Jose Rodriguez, DMD
- Dentist
- Delray Beach, FL
National Provider Identifier
1821833617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN29181
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN29181 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Implant 24HRS Pembroke Pines LLC | Current | 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.
-
dba Dr. Implant
- General Practice Dentistry
- Pembroke Pines, FL
- NPI 1457088916
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.