Bruno Knopp DDS,LTD

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRUNO KNOPP DDS,LTD

Practice address

3256 N Pulaski Rd
Chicago, IL 60641-4730

Phone

(773) 481-1900

Fax

(773) 481-7003

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bruno A Knopp, DDS

Title

Owner/President

Phone

(773) 481-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• City Style Dental Other name

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1205000825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414730",
            "telephone_number": "773-481-1900",
            "fax_number": "773-481-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414730",
            "telephone_number": "773-481-1900",
            "fax_number": "773-481-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNO KNOPP DDS,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "KNOPP",
        "authorized_official_first_name": "BRUNO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "773-481-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177320",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Style Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley Brunner
• Jill Brunner, MPT
• Rachel Brunner
• Shannon Brunner
• Scott Brunning
• Kierra La Shawn Bruno-Rodgers
• Caroline Regan Bruno, NP
• Claire Bruno, RD
• Ehlie Bruno, DDS
• Michelle Barbara Bruno, AGACNP

• 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 Apr 15, 2008; 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.