Mys - Rochelle LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019024307 Issued in IL

Legal business name

MYS - ROCHELLE LLC

Practice address

1001 Lincoln Hwy
Rochelle, IL 61068-1514

Phone

(815) 562-2030

NPI assigned

Dec 23, 2015

Organization subpart

No

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

Authorized official

Name

Todd Stern

Title

Owner

Phone

(815) 398-3879

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Dean Alan Cater, DDS

  • General Practice Dentistry
  • Rochelle, IL
  • NPI 1013076082
  NPD (past)

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1407211170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LINCOLN HWY",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LINCOLN HWY",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681514",
            "telephone_number": "815-562-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYS - ROCHELLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-398-3879"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019030473",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019024307",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019021620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reid E Mlsna, OD
• Michael J. Monfils, M.D.
• Christopher Howard Mrofcza
• Rebecca Munson
• Brandi Lynne Myelle, COTA/L
• Nancy S. Williams, MD SC
• Marlon De Luna Navarro
• Robert Joseph Neighbors, ATC
• Bruce Anthony Norkus, DDS
• Northern Rehabilitation and Sports Medicine Associates

• Dental Clinic/Center in Rochelle, IL
• Providers in Rochelle, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.