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RODOLFO RODRIGUEZ DMD
NPI 1700553229
Dentist in Chicago, IL

Active since August 23, 2021
5124 S RIDGEWAY AVE, CHICAGO, IL 60632(773) 318-7764 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Rodolfo Rodriguez Dmd NPPES

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

RODOLFO RODRIGUEZ DMD (NPI 1700553229) is an individual dentist in Chicago, Illinois, licensed in Illinois (019.033387) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1700553229
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameRODOLFO RODRIGUEZCredential: DMD
Location Address5124 S RIDGEWAY AVEChicago, IL 60632-3741
Mailing Address5124 S Ridgeway AveChicago, IL 60632-3741 · (773) 318-7764
Phone(773) 318-7764
Sole ProprietorNo
Enumeration DateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
✔ NPI 1700553229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.033387
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5124 S RIDGEWAY AVE, Chicago, IL 60632
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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 Rodolfo Rodriguez's NPI number?

The NPI number for Rodolfo Rodriguez is 1700553229. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Rodolfo Rodriguez located?

Rodolfo Rodriguez practices at 5124 S Ridgeway Ave, Chicago, IL 60632. The listed phone number is (773) 318-7764.

What is Rodolfo Rodriguez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Rodolfo Rodriguez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 8 other insurers list Rodolfo 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 Rodolfo Rodriguez was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.