John Rottschalk, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019024742 Issued in IL

Legal business name

JOHN ROTTSCHALK, DMD, PC

Practice address

959 Lincoln Hwy
Fairview Heights, IL 62208-2234

Phone

(618) 624-3838

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John L. RottschalkNPI 1164560710

Title

Owner

Phone

(618) 624-3838

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• John L. Rottschalk, DMD

  • General Practice Dentistry
  • Fairview Heights, IL
  • NPI 1164560710
  NPD (past) Authorized official
• Angela M. Froidcoeur, D.M.D.

  • Dentist
  • Fairview Heights, IL
  • NPI 1407198765
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1336354539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 LINCOLN HWY",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082234",
            "telephone_number": "618-624-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 LINCOLN HWY",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082234",
            "telephone_number": "618-624-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ROTTSCHALK, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "ROTTSCHALK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-624-3838",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter J Jankowski, DMD
• Brittany Jarvis, CNP
• Olivia Drew Jarvis
• Laura J Jenkins, MS, OTR/L
• JFJ Eyecare LTD
• Arielle Nicole Johnson
• Katherine Johnson I, PTA
• Kaylin Johnson
• Kourtney Johnson, RBT
• Melanie Elizabeth Johnson, DNP, FNP-BC

• General Practice Dentistry in Fairview Heights, IL
• Providers in Fairview Heights, 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 Oct 9, 2014; 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.