JONATHAN VASQUEZ RODRIGUEZ DMD
NPI 1609560176
Dentist - General Practice in Queen Creek, AZ
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonathan Vasquez Rodriguez Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coolidge, AZ 85128
- Reassigned Medicare billing, Arizona enrollment
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
QUEEN CREEK, AZ 85140
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.
Which organization bills Medicare for Jonathan Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Rodriguez reassigns Medicare benefits to Desert Senita Community Health Center (Coolidge, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathan Rodriguez accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross Blue Shield of Arizona 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.
# Jonathan Vasquez Rodriguez, DMD · NPI 1609560176
General Practice provider in Queen Creek, Arizona. Individual provider, active in the CMS NPPES registry since June 6, 2023.
## Identity
- **NPI:** 1609560176 (Entity type: Individual)
- **Enumerated:** June 6, 2023
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** D011815 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 40930 N IRONWOOD DR STE 109, Queen Creek, AZ 85140-8829
- **Phone:** (480) 347-0753
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Desert Senita Community Health Center (NPI 1386419927, Coolidge, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Dentistry, class of 2023
## Record status
- **NPPES last updated:** June 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609560176) · Data from the CMS NPPES public registry.