Active NPI
John M Rock, DDS
- Dentist
- Tinley Park, IL
National Provider Identifier
1750597233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19A15238
- Practice address
- 16860 Oak Park Ave
Tinley Park, IL 60477-2761 - Phone
- (708) 532-4363
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19A15238 | IL | Primary |
Addresses
Primary practice location
16860 Oak Park Ave
Tinley Park, IL 60477-2761
Mailing address
610 Rodney CT
Lockport, IL 60441-3349
Phone (815) 838-3179
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19A15238 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750597233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 RODNEY CT",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604413349",
"telephone_number": "815-838-3179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16860 OAK PARK AVE",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604772761",
"telephone_number": "708-532-4363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19A15238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.