Brent Edward Agran, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019027610 Issued in IL

Practice address

5820 N Clark St Ste 1S
Chicago, IL 60660

Phone

(773) 561-2237

Fax

(773) 878-5467

NPI assigned

May 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Brent E Agran, DDS, LLC

  • Dentist
  • Chicago, IL
  • NPI 1295134112
  NPD (past) Authorized official

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1508024746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 N CLARK ST STE 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603213",
            "telephone_number": "773-561-2237",
            "fax_number": "773-878-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 N CLARK ST STE 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60660",
            "telephone_number": "773-561-2237",
            "fax_number": "773-878-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAN",
        "first_name": "BRENT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lou Agosta Jr., PH.D.
• Lauren Agostinacchio, PA-C
• Christine Agostino
• Emanuel Agosto
• Stacy L Agosto, LCSW
• Mindy Grace Agranoff, MA
• Corazon Raposa Agravante, D.T.
• Akansha Harish Agrawal, MD
• Ankita Agrawal, M.D.
• Anya Agrawal

• All providers in Chicago, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.