Organization Active NPI

Regina H Rocha DDS, Ms, PC

  • Point of Service
  • Chicago, IL
National Provider Identifier
1588918684
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
319016492 Issued in IL
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
319016492OtherILENDODONTIC SPECIALIST

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.