Laviniu Bredau, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027477 Issued in IL

Practice address

5400 N Milwaukee Ave Ste a
Chicago, IL 60630-1289

Phone

(773) 853-2380

NPI assigned

Sep 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bredau Dental LTD

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1699428060
  NPD Authorized official
• Dyer Dental Care PLLC

  • Dental Clinic/Center
  • El Paso, TX
  • NPI 1083962104
  NPD (past)
• El Paso Pellicano Family Dentistry

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1770396798
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1376738245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 N MILWAUKEE AVE STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301289",
            "telephone_number": "773-853-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 N MILWAUKEE AVE STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301289",
            "telephone_number": "773-853-2380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600611556",
            "country_code": "US",
            "telephone_number": "847-457-8449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREDAU",
        "first_name": "LAVINIU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28744",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Brechbuhl, APRN, CRNA
• Joscelyn Mae Brecheisen, D.T.
• Cynthia Adzo Brechum, NURSE PRACTITIONER
• Carolyn S. Brecklin, M.D.
• Bredau Dental LTD
• Glenn William Bredfeldt, D.D.S.
• Chelsea Grace Breed, PA-C
• Sophie Anne Breedveld
• Heather M Breems, LCSW
• Katherine Breen, OTR/L

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.