Brian P Danielewicz DDS LTD

Primary specialty

DentistTaxonomy code 122300000X

License

019023664 Issued in IL

Legal business name

BRIAN P DANIELEWICZ DDS LTD

Practice address

740 Florsheim Dr
Suite 12
Libertyville, IL 60048-3712

Phone

(847) 816-3377

Fax

(847) 816-3858

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brian P Danielewicz, DDSNPI 1851460042

Title

Qwner

Phone

(847) 816-3377

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brian Patrick Danielewicz, D.D.S.

  • General Practice Dentistry
  • Libertyville, IL
  • NPI 1851460042
  NPD (past) Authorized official

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1669800413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 FLORSHEIM DR",
            "address_2": "SUITE 12",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483712",
            "telephone_number": "847-816-3377",
            "fax_number": "847-816-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FLORSHEIM DR",
            "address_2": "SUITE 12",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483712",
            "telephone_number": "847-816-3377",
            "fax_number": "847-816-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN P DANIELEWICZ DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "DANIELEWICZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "QWNER",
        "authorized_official_telephone_number": "847-816-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019023664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Bravy, M.A.
• Michael Joseph Breen, MD, PHD
• Robert Aaron Breit, M.D.
• Melissa Brennan, ED.S, LCPC
• Patricia Bress, SLP
• Anastasia Brierton, DO
• Brightlife Regenerative Medical Clinic SC
• John Phillippe Broadnax, M.D.
• Broadreach Counseling LLC
• Richard N. Brochu, DDS

• Dentist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.