Kristina Rodriguez, DMD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

D010110 Issued in AZ

Practice address

306 E Monroe Ave
Buckeye, AZ 85326-2706

Phone

(877) 809-5092

NPI assigned

Mar 7, 2018

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

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1932601754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 N LARKSPUR ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344550",
            "telephone_number": "480-685-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MONROE AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853262706",
            "telephone_number": "877-809-5092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 S 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850073101",
            "country_code": "US",
            "telephone_number": "602-362-0744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KRISTINA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "AZ",
            "license": "D010110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Kay Roberts
• Isaiah Robinson
• Alisha Robles, LPC
• Erika Cheri Rodahl
• Elisa Anne Rodriguez, RDN, LDN
• Luana Rodriguez, DNP, CNM, CCTP
• Rodtree Behavioral Health LLC
• Rodtree West
• Yvonne Roehr, MS, RDN
• Timothy Rogers, M.A.,LMFT

• Public Health Dentistry in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Public Health Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.