Individual provider Active NPI

Rodrigo Frizzo Viecilli, DDS, PHD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Austin, TX
National Provider Identifier
1912262635
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
33616 Issued in TX
Practice address
7300 Ranch Rd 2222
Building 5- Suite 217
Austin, TX 78730-3204
Phone
(512) 720-6399
NPI assigned
Jul 9, 2012
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 33616 TX Primary

Addresses

Primary practice location

7300 Ranch Rd 2222
Building 5- Suite 217
Austin, TX 78730-3204

Mailing address

7300 Ranch Rd 2222
Building 5- Suite 217
Austin, TX 78730-3204
Phone (512) 720-6399

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33616TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1912262635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH RD 2222",
            "address_2": "BUILDING 5- SUITE 217",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787303204",
            "telephone_number": "512-720-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 RANCH RD 2222",
            "address_2": "BUILDING 5- SUITE 217",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787303204",
            "telephone_number": "512-720-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIECILLI",
        "first_name": "RODRIGO",
        "middle_name": "FRIZZO",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "33616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.