Taylor Rogers, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019.032789 Issued in IL

Practice address

4039 W North Ave
Chicago, IL 60639-5219

Phone

(773) 782-4800

NPI assigned

Jul 16, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Experts, LLC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1962673954
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1114535184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N LAKE SHORE DR APT 915",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108455",
            "telephone_number": "317-385-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606395219",
            "telephone_number": "773-782-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 N Lake Shore Dr Apt 915",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606108455",
            "country_code": "US",
            "telephone_number": "317-385-8448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Rogers
• Susan Frances Rogers, MD
• Tamika Rogers
• Tatiana Karpouzian Rogers, PHD
• Tavaris Rogers
• Tiffany Rogers, LCPC
• Travis Rogers, D.C.
• Whitney Elizabeth Rogers, PT
• Wylie Sherman Rogers, PHD
• Samuel Isaac Rogge, MD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.