John Charles Rogers, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

018-019046 Issued in IL

Practice address

10522 S Cicero Ave
Suite 404
Oak Lawn, IL 60453-5200

Phone

(708) 422-7733

NPI assigned

Jan 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rogers Dental, Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1720131758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10522 S CICERO AVE",
            "address_2": "SUITE 404",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535200",
            "telephone_number": "708-422-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10522 S CICERO AVE",
            "address_2": "SUITE 404",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535200",
            "telephone_number": "708-422-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "018-019046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROGERS",
            "last_name": "DENTAL,",
            "credential": "INC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexis Oralia Rodriguez, BA
• Laua Rodriguez
• Laura Rodriguez
• Lauren E Rodriguez, PA
• Victoria Estella Rodriguez
• Beatriz Lucinda Rojas, M.S., BCBA
• Clara Alexandra Rojas
• Emily Marie Roll, NP
• Jessica Rolla, DPT
• Roman Orest Kozyckyj

• General Practice Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, 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 Jun 18, 2013; 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.