# DR. JOHN G RODRIGUEZ

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548346653
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14566 | TX | Yes |
| 1223G0001X | General Practice Dentistry | 14566 | TX | — |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 04/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 120777102 | — | TX |
| 01 | — | 693641 | UNITED CONCORDIA PROVIDER | TX |
| 01 | — | B14566 | CHIP PROVIDER ID | TX |
| 01 | — | D14566 | BC/BS PROVIDER (TEXAS) | TX |