Brent E Agran, DDS, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

019027610 Issued in IL

Legal business name

BRENT E AGRAN, DDS, LLC

Practice address

5850 N Clark St
Chicago, IL 60660-3202

Phone

(773) 561-2237

NPI assigned

Aug 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Brent Edward Agran, DDS

Title

Manager

Phone

(847) 372-5245

Specialties & licenses 1

Addresses

Tax ID family

Brent E Agran DDS LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brent E Agran, DDS, LLC

  • Dentist
  • Chicago, IL
  • NPI 1295134112
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheldon A. Grabiner, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1871670463
  NPD (past)
• Alicia Susana Rubinstein, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1710976261
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1295014660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 N MARSHFIELD AVE # 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223836",
            "telephone_number": "847-372-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603202",
            "telephone_number": "773-561-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT E AGRAN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "AGRAN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-372-5245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Brenner, LSW
• Lauren Brenner, LCSW
• Mariaelana Brenner, MD
• Tamara Brenner
• Brent Brown, D.O LLC
• Brent E Agran, DDS, LLC
• Jonathan Brent, MD,PHD
• Jayme Brentan, MD
• Mark Brenzinger, PSY.D.
• Megan Brese, MA, LCPC

• 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 Aug 16, 2011; 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.