Organization Active NPI

Andrew a Roechner Jr DDS PC

  • Dental Clinic/Center
  • Joliet, IL
National Provider Identifier
1942611207
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019-022413 Issued in IL
Legal business name
ANDREW A ROECHNER JR DDS PC
Practice address
300 N Hammes Ave
Joliet, IL 60435-8116
Phone
(815) 725-8075
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Dr. Andrew Anthony Roechner Jr., D.D.S.NPI 1699844480
Title
President
Phone
(815) 725-8075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019-022413 IL Primary

Addresses

Primary practice location

300 N Hammes Ave
Joliet, IL 60435-8116

Mailing address

300 N Hammes Ave
Joliet, IL 60435-8116
Phone (815) 725-8075

National Provider Directory

National Provider Directory

Locations

300 N Hammes Ave
Joliet, IL 60435
Phone (815) 725-8075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1942611207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358116",
            "telephone_number": "815-725-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358116",
            "telephone_number": "815-725-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW A ROECHNER JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "ROECHNER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-725-8075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019-022413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.