Sotiria Roukas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

1637 Waukegan Rd
Glenview, IL 60025-2152

Phone

(847) 657-0750

Fax

(847) 657-0751

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2020 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glenview Dental Associates, LTD

  • General Practice Dentistry
  • Glenview, IL
  • NPI 1033281746
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407928104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 PINETREE CIR N",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600897501",
            "telephone_number": "847-657-0750",
            "fax_number": "847-657-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252152",
            "telephone_number": "847-657-0750",
            "fax_number": "847-657-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUKAS",
        "first_name": "SOTIRIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Ruselle E. Roska-Dizon, RPT
• Rosley Eyecare and Associates LLC
• Ashley Danielle Rossman, DVM
• Patti Roth, PT
• Jennie Beth Rothner, RD
• Roundys Supermarkets Inc (Mariano's Pharmacy)
• Debjani Roy, M.D.
• Rozman Institute of Medicine Rehabilitation SC
• Nicholas M Rubel, ATC
• Lisa Rubin, M.A. CCC-SLP

• General Practice Dentistry in Glenview, IL
• Providers in Glenview, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.