Bryan R. Cichon DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

019-023433 Issued in IL

Legal business name

BRYAN R. CICHON DDS PC

Doing business as

Randall Ridge Dental

Practice address

700 S. Randall Rd.
Suite #1
St. Charles, IL 60174

Phone

(630) 587-2600

Fax

(630) 587-2605

NPI assigned

Nov 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bryan R. Cichon, DDS

Title

Owner/Dentist

Phone

(630) 587-2600

Specialties & licenses 1

Addresses

Other names 1

• Randall Ridge Dental Doing business as

Locations

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1114261427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S. RANDALL RD.",
            "address_2": "SUITE #1",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60174",
            "telephone_number": "630-587-2600",
            "fax_number": "630-587-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S. RANDALL RD.",
            "address_2": "SUITE #1",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60174",
            "telephone_number": "630-587-2600",
            "fax_number": "630-587-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN R. CICHON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "CICHON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "630-587-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-023433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randall Ridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Brown, PT, DPT
• Patricia Marie Brown, DC
• Bridget Bruce, APRN, CNP
• Lauren Brudos, MS, CCC-SLP
• Gatsby Brusven, BCBA
• Amy L Budnick, APN
• Buffy Cramer-Hammann PC
• Judith Renee Bugh, M.A., CCC-SLP
• Elizabeth Anne Bugliarello-Wondrich, M.A. EDUCATION, BCBA
• Timothy R. Buhrt, PSY.D.

• Dentist in St Charles, IL
• Providers in St Charles, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.