Curtis Roundy, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9870490-9921 Issued in UT

Practice address

3440 Ohio St
Great Lakes, IL 60088-3155

Phone

(847) 688-2100

NPI assigned

Sep 8, 2016

Last updated

Sep 8, 2016By the provider in NPPES

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

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1972050771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 FAIR LINKS WAY",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314706",
            "telephone_number": "801-358-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 OHIO ST",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600883155",
            "telephone_number": "847-688-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNDY",
        "first_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "9870490-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Juan Rivera Jr., PHARM.D.
• Howard Wayne Roberts, DMD, MS
• Margaret Joanna Rooney
• Maxwell Rooney
• Pamela Joan Rosentreter, MSW, LCSW
• Shulamis Rouzaud
• Julie Lynn Ruddy, PSY.D.
• Ronald John Rudlaff, D.D.S.
• Felicia Truley Ruiz
• Dennis Allen Runyan, DDS

• Dentist in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.