Sandra Maria Rodriguez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29044 Issued in TX

Practice address

2640 E League City Pkwy
Unit 108
League City, TX 77573-3368

Phone

(281) 701-4268

NPI assigned

Sep 4, 2013

Sex

Female

Sole proprietor

Yes

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 TX

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

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1972938496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 WILLIAMS GRANT ST",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791545",
            "telephone_number": "281-701-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 E LEAGUE CITY PKWY",
            "address_2": "UNIT 108",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733368",
            "telephone_number": "281-701-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SANDRA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Rocchi, FNP-BC
• Bruni Maria Rodriguez de la Sierra
• Alyssa Rodriguez
• Chris Rodriguez, CST
• Mario Ronaire Yuzon Rodriguez, RN
• Martha Rogers
• Velvete Dyreen Rojugbokan, RN
• Ronney M Henson D C P C
• Ronney M Henson D. C. P.C.
• Savannah Rose

• General Practice Dentistry in League City, TX
• Providers in League City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.