NPIMap

Organization Active NPI

Richard G. Rosenblatt, DMD, P.C.

Doing business as Forest North Dental

  • Dental Clinic/Center
  • Lake Bluff, IL
National Provider Identifier
1457139040
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RICHARD G. ROSENBLATT, DMD, P.C.
Doing business as
Forest North Dental
Practice address
101 N Waukegan Rd Ste 1200
Lake Bluff, IL 60044-1686
Phone
(847) 234-4405
NPI assigned
Sep 15, 2023
Last updated
Sep 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Richard Rosenblatt, DMDNPI 1558488155
Title
Owner Dentist
Phone
(847) 234-4405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

101 N Waukegan Rd Ste 1200
Lake Bluff, IL 60044-1686

Mailing address

101 N Waukegan Rd Ste 1200
Lake Bluff, IL 60044-1686
Phone (847) 234-4405

Other names 1

  • Forest North Dental Doing business as

National Provider Directory

National Provider Directory

Locations

101 Waukegan Rd
Ste 1200
Lake Bluff, IL 60044
Phone (847) 234-4405

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1457139040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N WAUKEGAN RD STE 1200",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441686",
            "telephone_number": "847-234-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WAUKEGAN RD STE 1200",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441686",
            "telephone_number": "847-234-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G. ROSENBLATT, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "ROSENBLATT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "847-234-4405",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest North Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.