Active NPI
Bradley Lander, MCHD/BCHD, MS
- Dentist
- Chicago, IL
National Provider Identifier
1487439733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.034507
- Practice address
- 223 Jackson Blvd
Suite #1275
Chicago, IL 60606 - Phone
- (201) 724-0381
- NPI assigned
- Aug 25, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019.034507 | IL | Primary |
Addresses
Primary practice location
223 Jackson Blvd
Suite #1275
Chicago, IL 60606
Mailing address
88 E Wacker Place
Apartment 3705
Chicago, IL 60601
Phone (201) 724-0381
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.034507 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1487439733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 E WACKER PLACE",
"address_2": "APARTMENT 3705",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60601",
"telephone_number": "201-724-0381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 JACKSON BLVD",
"address_2": "SUITE #1275",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60606",
"telephone_number": "201-724-0381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDER",
"first_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "MCHD/BCHD, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-25",
"last_updated": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.034507",
"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 Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.