Alfred Roseroot, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019015733 Issued in IL

Practice address

1455 E. Golf Rd. Suite 216
Des Plaines, IL 60016

Phone

(847) 699-3370

Fax

(847) 699-0383

NPI assigned

Oct 3, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alfred E Roseroot, D.M.D., P.C.

  • Dental Clinic/Center
  • Des Plaines, IL
  • NPI 1548812530
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1942394549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9242 N. SPRINGFIELD",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031518",
            "telephone_number": "847-921-3370",
            "fax_number": "847-699-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E. GOLF RD. SUITE 216",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-699-3370",
            "fax_number": "847-699-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEROOT",
        "first_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "DMD, PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019015733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roots Pharmacy Solutions
• Rosecrance Inc.
• Judith Rosen, MSW, LCSW
• Allen Jerome Rosenbaum, MD
• Samantha G Rosenthal, LCSW, CADC
• Susan D. Rosseland, L.C.S.W.
• Suellyn S Rossman, MD
• Stacy Roth
• Stacy Anne Roth, RD, LDN, MPH
• Emily Rothstein

• General Practice Dentistry in Des Plaines, IL
• Providers in Des Plaines, 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 Feb 18, 2022; 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.