Rooted Heritage LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROOTED HERITAGE LLC

Practice address

4956 Benchmark Centre Dr Ste C
Swansea, IL 62226-7605

Phone

(618) 622-9533

NPI assigned

Jun 13, 2026

Last updated

Jun 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles C Hines III, DMDNPI 1548909583

Title

Dentist

Phone

(309) 846-3371

Specialties & licenses 1

Addresses

Locations

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.

• Charles Christopher Hines III, DMD

  • Dentist
  • Nashville, TN
  • NPI 1548909583
  NPD Authorized official

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

{
    "created_epoch": "1781308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781308800000",
    "number": "1316872252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OAKSHIRE DR E",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620348528",
            "telephone_number": "309-846-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4956 BENCHMARK CENTRE DR STE C",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267605",
            "telephone_number": "618-622-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED HERITAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-13",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "309-846-3371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Diane Roberts, P.T.
• Aaron Clay Roby
• Rock Rose Counseling, PLLC
• Rita Rogers
• Allyx Andrea Roher, PHARMD
• Dawn Marie Roulanaitis, MS CCC-A
• Kayla R Roulette, MA, LCPC
• Daniel M. Rovin, D.C.
• Gary L Rovin, D.C.
• Paula Jo Rush Shumpert, DT

• General Practice Dentistry in Swansea, IL
• Providers in Swansea, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; 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.