Individual provider Active NPI

Rosella Spadoni, D.D.S.

  • Dentist
  • South Barrington, IL
National Provider Identifier
1568734564
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019019233 Issued in IL
Practice address
2 Executive CT
South Barrington, IL 60010-9507
Phone
(847) 304-4442
Fax
(847) 304-4439
NPI assigned
Feb 7, 2012
Last updated
Feb 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019019233 IL Primary

Addresses

Primary practice location

2 Executive CT
South Barrington, IL 60010-9507

Mailing address

2 Executive CT
South Barrington, IL 60010-9507
Phone (847) 304-4442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616000969 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2264743343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019019233ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
South Barrington Dental Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1568734564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE CT",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109507",
            "telephone_number": "847-304-4442",
            "fax_number": "847-304-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE CT",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109507",
            "telephone_number": "847-304-4442",
            "fax_number": "847-304-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADONI",
        "first_name": "ROSELLA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barrington, IL

Sources for this page

Verify at the official NPI Registry.