Braam Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRAAM DENTAL

Practice address

3334 W Peterson Ave
Chicago, IL 60659-3505

Phone

(224) 661-0524

NPI assigned

Dec 11, 2018

Last updated

Sep 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lee Braam, DMDNPI 1275914939

Title

General Dentist

Phone

(773) 754-4974

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lee S Braam, DMD

  • Dentist
  • Chicago, IL
  • NPI 1275914939
  Authorized official Same address or phone

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1043781321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5764 N MANGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593505",
            "telephone_number": "224-661-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAAM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "BRAAM",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "773-754-4974",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A. Bozek, M.D.
• Jenna Boznos, PHARMD
• Kenny Bozorgi, M.D.
• BP Behavioral Services, LLC
• BR Psychiatry PLLC
• Braam-Hackney P.C.
• Lee S Braam, DMD
• Jacob Braaten, MD
• Elizabeth Genevieve Braatz, OTR/L
• Conetha Braboy

• Dentist in Chicago, IL
• Providers in Chicago, 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, 2021; 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.