Nathaniel Stephen Rood, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19026127 Issued in IL

Practice address

62 Orland Square Dr Ste 104
Orland Park, IL 60462-6558

Phone

(708) 460-7440

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nathaniel Stephen Rood D.D.S., LTD.

  • Dentist
  • Orland Park, IL
  • NPI 1598000341
  NPD (past) Authorized official
• Orland Square Dental

  • General Practice Dentistry
  • Orland Park, IL
  • NPI 1306172804
  NPD (past)
• Palos Family Dental LLC

  • General Practice Dentistry
  • Palos Heights, IL
  • NPI 1144633314
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1679648265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 ORLAND SQUARE DR STE 104",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626558",
            "telephone_number": "708-460-7440",
            "fax_number": "708-403-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 ORLAND SQUARE DR STE 104",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626558",
            "telephone_number": "708-460-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOD",
        "first_name": "NATHANIEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19026127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rodriguez, RBT
• Tynisa Rodriguez, COTA/L
• Thomas W Roland, D.C.
• Shannon Roleck, OTR
• Priscilla A Romanov, LCPC
• Roseann Martarano LCSW PLLC
• Venus Rosendo, FNP-BC
• Rachel Rosenhagen, LAC
• Rosin Optical Co. Inc.
• Rosin Optical Co. Inc.

• General Practice Dentistry in Orland Park, IL
• Providers in Orland Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.