Active NPI
Jacqueline G Rosen
- Orthodontics and Dentofacial Orthopedics Dentistry
- Buffalo Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- JACQUELINE G ROSEN
- Practice address
- 355 W Dundee Rd
Buffalo Grove, IL 60089-3500 - Phone
- (847) 215-9971
- Fax
- (847) 215-9946
- NPI assigned
- Mar 23, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacqueline G Rosen, DDSMSPC
- Title
- Orthodonist
- Phone
- (847) 215-9971
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | IL | Primary |
Addresses
Primary practice location
355 W Dundee Rd
Buffalo Grove, IL 60089-3500
Mailing address
355 W Dundee Rd
Buffalo Grove, IL 60089-3500
Phone (847) 215-9971
National Provider Directory
National Provider DirectoryLocations
355 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 215-9971
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Buffalo Grove, IL
- NPI 1881936607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144347303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 W DUNDEE RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600893500",
"telephone_number": "847-215-9971",
"fax_number": "847-215-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W DUNDEE RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600893500",
"telephone_number": "847-215-9971",
"fax_number": "847-215-9946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACQUELINE G ROSEN",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROSEN",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "ORTHODONIST",
"authorized_official_telephone_number": "847-215-9971",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDSMSPC"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.