Bruce Alan Rannin, DMD

Primary specialty

DentistTaxonomy code 122300000X

Practice address

3001A Sixth Street
Naval Hospital N00211
Great Lakes, IL 60088

Phone

(847) 688-3950

Fax

(847) 688-6369

NPI assigned

Mar 20, 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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053370163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 CHANDLER RD",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313130",
            "telephone_number": "630-244-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001A SIXTH STREET",
            "address_2": "NAVAL HOSPITAL N00211",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "60088",
            "telephone_number": "847-688-3950",
            "fax_number": "847-688-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANNIN",
        "first_name": "BRUCE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmin Quintanilla-Rendon
• Ritesh Dhiru Radadia, D.M.D.
• Andrew I Radovan, DDS
• Jonathan Ramonbeebe
• Katelin Ramos, RDH
• Quinten Thomas Reasoner, DDS
• Robert Stephen Rhodes, D.D.S.
• David George Rinaldi, MD
• Steven Mark Rinkavage Jr., IDC
• Ernesto Juan Rivera Jr., PHARM.D.

• 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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.