Ashley Rodriguez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019032904 Issued in IL

Practice address

2208 N Mannheim Rd
Melrose Park, IL 60164-1837

Phone

(847) 451-7777

NPI assigned

Oct 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boca Dental Clinic Chicago LTD

  • Dental Clinic/Center
  • Melrose Park, IL
  • NPI 1023615374
  NPD Authorized official

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1982201505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 N MANNHEIM RD",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601641837",
            "telephone_number": "847-451-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 N MANNHEIM RD",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601641837",
            "telephone_number": "847-451-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ASHLEY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032904",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve In-Hyuk Ro
• Nada K Robel, RPH
• Kathryn Dura Robinson, M.S.
• Yolanda Robles
• Rodney Schainis MD LLC
• Carmen Rodriguez, MA
• Alondra Romero Castro
• Stephanie Rosania, MD
• Stephanie Rosen
• David R Rosi, MD

• Dentist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.