Individual provider Active NPI

Regina Beth Rotkvich, DMD

  • Dentist
  • Chicago, IL
National Provider Identifier
1598898736
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019027064 Issued in IL
Practice address
3800 N Pulaski Rd
Chicago, IL 60641-3197
Phone
(773) 663-3800
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019027064 IL Primary

Addresses

Primary practice location

3800 N Pulaski Rd
Chicago, IL 60641-3197

Mailing address

3800 N Pulaski Rd
Chicago, IL 60641-3197
Phone (773) 663-3800

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
I20150605001601 IL Order and Referring Only - DentistPractitioner - Dentist 5193046852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinnery Patel, DDS, LTD. Dentist PastSince Dec 28, 2025 Accepting new patients
Simon and Simon, P.C. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1598898736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413197",
            "telephone_number": "773-663-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413197",
            "telephone_number": "773-663-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTKVICH",
        "first_name": "REGINA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.