Wendy Hernandez Rodriguez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25083 Issued in FL

Practice address

2670 S Ferdon Blvd Ste 108
Crestview, FL 32536-5481

Phone

(850) 634-0748

NPI assigned

Jul 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Nathaniel Durtschi DMD PA

  dba Aspen Dental

  • General Practice Dentistry
  • Crestview, FL
  • NPI 1447613328
  NPD (past)

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1912524299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 W TOLEDO AVE",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324337339",
            "telephone_number": "305-200-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 S FERDON BLVD STE 108",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365481",
            "telephone_number": "850-634-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ RODRIGUEZ",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "25083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Katherine Helton, PHARMD
• Brittany Henderson, PHARM.D.
• Chase Douglas Henderson, M.D.
• Shelby Taylor Hensley
• David Allen Herf, MD
• Michele Hernandez, OT
• Casey Marie Herrera, RBT, COTA
• Guinevere Crystal Herrin, RBT
• Tiffany Herrmann, DMD
• Charles Eugene Hewett III, ATC, LAT

• General Practice Dentistry in Crestview, FL
• Providers in Crestview, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.