Individual provider Active NPI

Argenis D Jesus Ferrebus Rodriguez, DMD

  • Denturist
  • Hollywood, FL
National Provider Identifier
1922996305
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
30604 Issued in FL
Practice address
603 S State Road 7 Ste a
Hollywood, FL 33023-6723
Phone
(786) 616-9171
NPI assigned
Jun 25, 2025
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X 30604 FL Primary

Addresses

Primary practice location

603 S State Road 7 Ste a
Hollywood, FL 33023-6723

Mailing address

10616 Mendocino LN
Boca Raton, FL 33428-1228
Phone (786) 616-9171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20250912001756 FL Order and Referring Only - DentistPractitioner - Dentist 8022511294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30604FLMDDenturist

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1922996305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10616 MENDOCINO LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281228",
            "telephone_number": "786-616-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S STATE ROAD 7 STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236723",
            "telephone_number": "786-616-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREBUS RODRIGUEZ",
        "first_name": "ARGENIS",
        "middle_name": "D JESUS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "FL",
            "license": "30604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.