NPIMap

Organization Active NPI

Roslyn Travis Stratton D.D.S.,P.C.

Doing business as My Dentist & Associates

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1245597020
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019021392 Issued in IL
Legal business name
ROSLYN TRAVIS STRATTON D.D.S.,P.C.
Doing business as
My Dentist & Associates
Practice address
2555 W 79TH St
Chicago, IL 60652-1729
Phone
(773) 434-1515
Fax
(773) 434-1917
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Mrs. Roslyn Travis-Stratton, D.D.S.,P.C.NPI 1427179381
Title
Dentist
Phone
(773) 434-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019021392 IL Primary

Addresses

Primary practice location

2555 W 79TH St
Chicago, IL 60652-1729

Mailing address

2555 W 79TH St
Chicago, IL 60652-1729
Phone (773) 434-1515

Other names 1

  • My Dentist & Associates Doing business as

National Provider Directory

National Provider Directory

Locations

2555 W 79th St
Chicago, IL 60652
Phone (773) 434-1515

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1245597020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521729",
            "telephone_number": "773-434-1515",
            "fax_number": "773-434-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521729",
            "telephone_number": "773-434-1515",
            "fax_number": "773-434-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSLYN TRAVIS STRATTON D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "TRAVIS-STRATTON",
        "authorized_official_first_name": "ROSLYN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-434-1515",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S.,P.C."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dentist & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.