Bryan R. Cichon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-023433 Issued in IL

Practice address

700 S Randall Rd
Suite #1
St Charles, IL 60174-5916

Phone

(630) 587-2600

Fax

(630) 587-2605

NPI assigned

Jan 2, 2007

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

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1932266616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 INDEPENDENCE AVE",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601197833",
            "telephone_number": "630-587-2600",
            "fax_number": "630-587-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S RANDALL RD",
            "address_2": "SUITE #1",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601745916",
            "telephone_number": "630-587-2600",
            "fax_number": "630-587-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHON",
        "first_name": "BRYAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-023433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Chlapecka
• Danielle Marie Chobak, M.A. CFY-SLP
• Brad Christensen, D.C.
• Kelly Marie Christiansen, OTRL
• Ci Psych, PLLC
• Zbigniew M Ciechanowski, M.D.
• Jerry Ciffone, MSW, LCSW
• City of St Charlesq (Tri City Ambulance)
• Chenille Claiborne
• Mary Catherine (Kay) Clarke, MA, LCPC, CADC

• General Practice Dentistry in St Charles, IL
• Providers in St Charles, 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 Nov 1, 2012; 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.