Organization Active NPI

George a. Rotramel DMD LTD

  • General Practice Dentistry
  • Tuscola, IL
National Provider Identifier
1265536890
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.024565 Issued in IL
Legal business name
GEORGE A. ROTRAMEL DMD LTD
Practice address
113 E Pembroke St
Tuscola, IL 61953-1427
Phone
(217) 253-5222
Fax
(217) 253-5223
NPI assigned
Sep 12, 2006
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. George Anthony Rotramel, D. M.D.NPI 1376967711
Title
Dentist/Owner
Phone
(217) 253-5222

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 019.024565 IL Primary

Addresses

Primary practice location

113 E Pembroke St
Tuscola, IL 61953-1427

Mailing address

113 E Pembroke St
Tuscola, IL 61953-1427
Phone (217) 253-5222

National Provider Directory

National Provider Directory

Locations

113 E Pembroke St
Tuscola, IL 61953
Phone (217) 253-5222

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.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1265536890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E PEMBROKE ST",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619531427",
            "telephone_number": "217-253-5222",
            "fax_number": "217-253-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E PEMBROKE ST",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619531427",
            "telephone_number": "217-253-5222",
            "fax_number": "217-253-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A. ROTRAMEL DMD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "ROTRAMEL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "217-253-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.024565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscola, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.