Thomas L Roderick DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33655 Issued in CA

Legal business name

THOMAS L RODERICK DDS

Practice address

2333 Camino del Rio South
#140
San Diego, CA 92108-4135

Phone

(619) 574-1810

Fax

(619) 574-1326

NPI assigned

Feb 14, 2008

Organization subpart

Yes

Parent organization

THOMAS L RODERICKAs reported in NPPES

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

Authorized official

Name

Thomas L Roderick, DDS

Title

Owner

Phone

(619) 574-1810

Specialties & licenses 1

Addresses

Part of

Thomas L Roderick DDS

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1922276765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 CAMINO DEL RIO S",
            "address_2": "SUITE 140",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084135",
            "telephone_number": "619-574-1810",
            "fax_number": "619-574-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 CAMINO DEL RIO SOUTH",
            "address_2": "#140",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084135",
            "telephone_number": "619-574-1810",
            "fax_number": "619-574-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L RODERICK DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOMAS L RODERICK",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-574-1810",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas a Hessling M D Inc
• Thomas C. Sullivan, M.D., Inc.
• Autumn Dongxia Thomas Colwell
• Fred S. Thomas III III, CERTIFIED HYPNOSIS
• Robert Lee Thomas III, M.D., PHD
• Thomas Lian MD Apc
• Thomas R Vecchione MD a Professional Corporation
• Thomas S Tooma M D a Professional Corporation
• Thomas W. Eck, M.D. P.C.
• Thomas W. Harris MD Inc

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.