Michael Charles Rodriguez, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30-022231 Issued in OH

Practice address

128 Mentor Ave
Painesville, OH 44077-3232

Phone

(440) 354-2183

NPI assigned

Dec 23, 2005

Last updated

Sep 25, 2012By the provider in NPPES

Sex

Male

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Painesville Dental Group

  • General Practice Dentistry
  • Painesville, OH
  • NPI 1033296553
  NPD (past)

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1912984642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 PAINESVILLE RAVENNA RD",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440779504",
            "telephone_number": "561-244-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773232",
            "telephone_number": "440-354-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roadd Time Transportation Inc.
• Brittany Hope Robinson, CDCA
• Barbara Matilde Rodriguez, M.D.
• Cathilia Rodriguez
• Chelsey Rodriguez
• Tara Rodriguez
• Jacob Rogalski, DC
• Heather M Rogers
• Mary Roper
• Anthony Rosa

• Dentist in Painesville, OH
• Providers in Painesville, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.