Individual provider Active NPI

Rosann Marattil

  • General Practice Dentistry
  • Racine, WI
National Provider Identifier
1861182073
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6001878-15 Issued in WI
Practice address
6218 Washington Avenue
Suite C
Racine, WI 53406
Phone
(630) 803-8237
NPI assigned
May 10, 2023
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6001878-15 WI Primary

Addresses

Primary practice location

6218 Washington Avenue
Suite C
Racine, WI 53406

Mailing address

6218 Washington Avenue
Suite C
Racine, WI 53406
Phone (630) 803-8237

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
6001878-15WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1861182073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6218 WASHINGTON AVENUE",
            "address_2": "SUITE C",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "53406",
            "telephone_number": "630-803-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 WASHINGTON AVENUE",
            "address_2": "SUITE C",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "53406",
            "telephone_number": "630-803-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARATTIL",
        "first_name": "ROSANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001878-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.