Lindsay Lou Rozendaal, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6929-15 Issued in WI

Practice address

7017 Old Sauk Rd
Madison, WI 53717-1010

Phone

(608) 833-1889

Fax

(608) 662-7414

NPI assigned

May 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Lindsay Lou Lichtenberg Other name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1225320641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 OLD SAUK RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171010",
            "telephone_number": "608-833-1889",
            "fax_number": "608-662-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 OLD SAUK RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171010",
            "telephone_number": "608-833-1889",
            "fax_number": "608-662-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZENDAAL",
        "first_name": "LINDSAY",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029041",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6929-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "LICHTENBERG",
            "middle_name": "LOU",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Subhojit Roy, M.D., PH.D.
• James A Royall, MD
• Christopher L Royer, MD
• Ross S Royster, DC
• Heidi Rozek, SAC, LPC-IT
• Matthew R Rozzi, PHD
• Diego Rubalcava
• Tyler Rubeor, MD
• Olivia Anne Ruble
• Lisa D Rubrich, C.O.

• General Practice Dentistry in Madison, WI
• Providers in Madison, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.