Active NPI
Richard J Bret, D.D.S. M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Chicago, IL
National Provider Identifier
1326293226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 019020187
- Practice address
- 7100 W. Higgins
Chicago, IL 60656 - Phone
- (773) 775-3333
- NPI assigned
- Nov 20, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 019020187 | IL | Primary |
Addresses
Primary practice location
7100 W. Higgins
Chicago, IL 60656
Mailing address
7100 W. Higgins
Chicago, IL 60656
Phone (773) 775-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019020187 | IL | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227139200000",
"number": "1326293226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 W. HIGGINS",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60656",
"telephone_number": "773-775-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 W. HIGGINS",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60656",
"telephone_number": "773-775-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRET",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S. M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-20",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": "019020187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.