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JONATHAN VASQUEZ RODRIGUEZ DMD
NPI 1609560176
Dentist - General Practice in Queen Creek, AZ

Active since June 06, 2023PECOS Enrolled
40930 N IRONWOOD DR STE 109, QUEEN CREEK, AZ 85140(480) 347-0753 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Vasquez Rodriguez Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN VASQUEZ RODRIGUEZ DMD (NPI 1609560176) is an individual general practice provider in Queen Creek, Arizona, licensed in Arizona (D011815) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Dentistry (2023).

NPPES Registry Identity

NPI1609560176
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJONATHAN VASQUEZ RODRIGUEZCredential: DMD
Location Address40930 N IRONWOOD DR STE 109Queen Creek, AZ 85140-8829
Mailing Address1057 S Deerfield LnGilbert, AZ 85296-2898 · (904) 294-2482
Phone(480) 347-0753
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of DentistryGraduated 2023
Enumeration DateJune 6, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1609560176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D011815
Definition
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.
40930 N IRONWOOD DR STE 109, Queen Creek, AZ 85140
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Vasquez Rodriguez Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436505617
PECOS Enrollment IDI20251104003969
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIKA MICHELLE LUKAVSKY DMD
Dentist
40930 N IRONWOOD DR STE 109
QUEEN CREEK, AZ 85140
Maricopa County (480) 347-0753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Rodriguez's NPI number?

The NPI number for Jonathan Rodriguez is 1609560176. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Jonathan Rodriguez located?

Jonathan Rodriguez practices at 40930 N Ironwood Dr Ste 109, Queen Creek, AZ 85140. The listed phone number is (480) 347-0753.

What is Jonathan Rodriguez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jonathan Rodriguez enrolled in Medicare?

Yes. Jonathan Rodriguez is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Rodriguez accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Jonathan Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Rodriguez was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.