Individual provider Active NPI

Roopali Mittal, DDS

  • General Practice Dentistry
  • Bolingbrook, IL
National Provider Identifier
1902587991
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.034577 Issued in IL
Practice address
231 N Bolingbrook Dr
Bolingbrook, IL 60440-1957
Phone
(312) 999-9993
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.034577 IL Primary
Dentist 122300000X 28477 FL
Dentist 122300000X 12014557A IN
General Practice Dentistry 1223G0001X 28477 FL

Addresses

Primary practice location

231 N Bolingbrook Dr
Bolingbrook, IL 60440-1957

Mailing address

3347 Timber Creek LN
Naperville, IL 60565-3534
Phone (630) 414-5590

Other practice location 1

6 W Lincoln Hwy
Merrillville, IN 46410-5446
Phone (708) 403-4388

Other practice location 2

1425 E Lincoln Hwy
New Lenox, IL 60451-9534
Phone (708) 403-4388

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
28477FLMDDentist
019.034577ILMDDentist
12014557AINMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1902587991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 TIMBER CREEK LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653534",
            "telephone_number": "630-414-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N BOLINGBROOK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401957",
            "telephone_number": "312-999-9993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 W Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464105446",
            "country_code": "US",
            "telephone_number": "708-403-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 E Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604519534",
            "country_code": "US",
            "telephone_number": "708-403-4388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "ROOPALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.034577",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "28477",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014557A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "28477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.