Active NPI
Daniel Roche I
- Specialist
- Chicago Heights, IL
National Provider Identifier
1861677833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 242 W. Maple Drive
Chicago Heights, IL 60411-2070 - Phone
- (708) 754-2592
- NPI assigned
- Jan 8, 2008
- Last updated
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | IL | Primary |
Addresses
Primary practice location
242 W. Maple Drive
Chicago Heights, IL 60411-2070
Mailing address
242 W Maple Dr
Chicago Heights, IL 60411-2070
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1861677833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 W MAPLE DR",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604112070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 W. MAPLE DRIVE",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604112070",
"telephone_number": "708-754-2592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHE",
"first_name": "DANIEL",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.