Active NPI
Regina H Rocha DDS, Ms, PC
- Point of Service
- Chicago, IL
National Provider Identifier
1588918684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 319016492
- Legal business name
- REGINA H ROCHA DDS, MS, PC
- Practice address
- 1649 W Cortland St Unit C-101
Chicago, IL 60622-8974 - Phone
- (773) 697-4348
- Fax
- (773) 904-7873
- NPI assigned
- Oct 29, 2012
- Last updated
- Oct 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Regina H Rocha, DDS
- Title
- Doctor/Owner
- Phone
- (773) 697-4348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 319016492 | IL | Primary |
Addresses
Primary practice location
1649 W Cortland St Unit C-101
Chicago, IL 60622-8974
Mailing address
1649 W Cortland St Unit C-101
Chicago, IL 60622-8974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 319016492 | Other | IL | ENDODONTIC SPECIALIST |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351468800000",
"number": "1588918684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1649 W CORTLAND ST UNIT C-101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606228974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1649 W CORTLAND ST UNIT C-101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606228974",
"telephone_number": "773-697-4348",
"fax_number": "773-904-7873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGINA H ROCHA DDS, MS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-29",
"last_updated": "2012-10-29",
"status": "A",
"authorized_official_last_name": "ROCHA",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "773-697-4348",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "IL",
"license": "319016492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENDODONTIC SPECIALIST",
"identifier": "319016492",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.