Organization Active NPI

Jacqueline G Rosen

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Buffalo Grove, IL
National Provider Identifier
1144347303
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

355 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 215-9971

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.

Verify at the official NPI Registry.