KAILEEN RODRIGUEZ DDS NPI 1588188098

NPI Information

NPI: 1588188098
Provider Name: KAILEEN RODRIGUEZ, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1001 SHADOW LN # MS 7442
LAS VEGAS, NV
ZIP 89106
Phone: (702) 774-2698
Get Directions

Kaileen Rodriguez, DDS is a general practice dentist in Las Vegas, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Kaileen Rodriguez, DDS NPI is 1588188098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1001 SHADOW LN # MS 7442
LAS VEGAS, NV
ZIP 89106-124
Phone: (702) 774-2698

The enumeration date for this NPI number is 7/27/2017 and was last updated on 12/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		101704	CALIFORNIA	No
2	1223G0001X	Dentist	General Practice	LL-549-21	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	VAD0000	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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