Active NPI
Rosemary Santoro, D.D.S
- Dentist
- Lake Forest, IL
National Provider Identifier
1295268233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019020474
- Practice address
- 810 S Waukegan Rd
Suite 106
Lake Forest, IL 60045-2693 - Phone
- (847) 295-0515
- NPI assigned
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019020474 | IL | Primary |
Addresses
Primary practice location
810 S Waukegan Rd
Suite 106
Lake Forest, IL 60045-2693
Mailing address
810 S Waukegan Rd
Suite 106
Lake Forest, IL 60045-2693
Phone (847) 295-0515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019020474 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Family Dentistry | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Lake Forest, IL
- NPI 1184872137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1295268233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 S WAUKEGAN RD",
"address_2": "SUITE 106",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600452693",
"telephone_number": "847-295-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 S WAUKEGAN RD",
"address_2": "SUITE 106",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600452693",
"telephone_number": "847-295-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTORO",
"first_name": "ROSEMARY",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019020474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.