Individual provider Active NPI

Dell Roessler Sr., L.AC

  • Acupuncturist
  • Elgin, IL
National Provider Identifier
1982057519
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.000214 Issued in IL
Practice address
2090 Larkin Ave
Suite 25
Elgin, IL 60123-5845
Phone
(847) 888-3133
Fax
(847) 888-3136
NPI assigned
Jul 19, 2016
Last updated
Jul 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.000214 IL Primary

Addresses

Primary practice location

2090 Larkin Ave
Suite 25
Elgin, IL 60123-5845

Mailing address

2090 Larkin Ave
Suite 25
Elgin, IL 60123-5845
Phone (847) 888-3133

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
198.000214ILMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1982057519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 LARKIN AVE",
            "address_2": "SUITE 25",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235845",
            "telephone_number": "847-888-3133",
            "fax_number": "847-888-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 LARKIN AVE",
            "address_2": "SUITE 25",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235845",
            "telephone_number": "847-888-3133",
            "fax_number": "847-888-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESSLER",
        "first_name": "DELL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.