Individual provider Active NPI

Dominic M Romane, L/CO

  • Orthotist
  • Schaumburg, IL
National Provider Identifier
1699268268
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
CO005290 Issued in IL
Practice address
1701 E Woodfield Rd Ste 555
Schaumburg, IL 60173-5130
Phone
(847) 619-1701
NPI assigned
Jun 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CO005290 IL Primary

Addresses

Primary practice location

1701 E Woodfield Rd Ste 555
Schaumburg, IL 60173-5130

Mailing address

1 S 376 Summit Ave Court E
Oakbrook Terrace, IL 60181
Phone (847) 619-1701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO005290ILMDOrthotist

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1699268268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S 376 SUMMIT AVE COURT E",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "847-619-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD RD STE 555",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735130",
            "telephone_number": "847-619-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANE",
        "first_name": "DOMINIC",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "L/CO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "IL",
            "license": "CO005290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.