Bredau Dental LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BREDAU DENTAL LTD

Practice address

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

Phone

(773) 853-2380

NPI assigned

Jan 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Laviniu Bredau, DDSNPI 1376738245

Title

President

Phone

(773) 742-6038

Specialties & licenses 1

Addresses

Other names 1

• Bredau Dental Doing business as

Locations

Practitioners 1

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

• Laviniu Bredau, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1376738245
  NPD Authorized official

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1699428060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 RAYMOND AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131248",
            "telephone_number": "773-742-6038"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "BREDAU DENTAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "BREDAU",
        "authorized_official_first_name": "LAVINIU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-742-6038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bredau Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adriana Veronica Breban
• Brittany Brechbuhl, APRN, CRNA
• Joscelyn Mae Brecheisen, D.T.
• Cynthia Adzo Brechum, NURSE PRACTITIONER
• Carolyn S. Brecklin, M.D.
• Laviniu Bredau, D.D.S.
• Glenn William Bredfeldt, D.D.S.
• Chelsea Grace Breed, PA-C
• Sophie Anne Breedveld
• Heather M Breems, LCSW

• 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 26, 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.