Brian Evans, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

290 Springfield Dr
Suite 130
Bloomingdale, IL 60108-2214

Phone

(630) 980-3880

Fax

(630) 980-4828

NPI assigned

Jan 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bloomingdale Sleep Therapy, Inc.

  • Customized Equipment (DME)
  • Bloomingdale, IL
  • NPI 1720497910
  Authorized official Same address or phone
• Stratford Dental PC

  dba Bloomingdale Dental Sleep Therapy

  • Dentist
  • Bloomingdale, IL
  • NPI 1285985549
  NPD (past) Authorized official
• Dental Professionals of Illinois, P.C.

  dba Stratford Dental

  • General Practice Dentistry
  • Bloomingdale, IL
  • NPI 1346997020
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760532725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 SPRINGFIELD DR",
            "address_2": "SUITE 130",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082214",
            "telephone_number": "630-980-3880",
            "fax_number": "630-980-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 SPRINGFIELD DR",
            "address_2": "SUITE 130",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082214",
            "telephone_number": "630-980-3880",
            "fax_number": "630-980-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Axness, LCSW and Associates, LLC
• Kendra Erven, P.T.
• Luciano Esposito
• Essentially You Counseling and Wellness Services, LLC
• Essentials Dental Practice LLC (Essentials Dental)
• Dana C. Fairbanks, M.D.
• Family Chiropractic Center, LTD
• Family Doctor's of Dupage, S.C. (Advanced Integrative Healthcare)
• Jaimie Fankhanel, RPH
• Marcela Farias

• General Practice Dentistry in Bloomingdale, IL
• Providers in Bloomingdale, 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 Jul 8, 2007; 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.