Bryan a Weyneth DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRYAN A WEYNETH DDS PC

Practice address

1100 Sherman Ave Ste 1031100
Naperville, IL 60563-8608

Phone

(630) 369-5225

Fax

(630) 369-7416

NPI assigned

Oct 28, 2019

Organization subpart

No

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

Authorized official

Name

Dorothy Hernandez, CREDENTIALING AGENT

Title

Credentialing Agent Contract Labor

Phone

(928) 779-4404

Specialties & licenses 1

Addresses

Other names 1

• BRYAN A WEYNETH DDS PC Former legal business name

Locations

Practitioners 1

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

• Lydia M Sosenko, D.D.S., A.BDSM

  • General Practice Dentistry
  • S Barrington, IL
  • NPI 1801002506

  Dentist

  NPD (past)

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1972146470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHERMAN AVE STE 1031100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638608",
            "telephone_number": "630-369-5225",
            "fax_number": "630-369-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHERMAN AVE STE 1031100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638608",
            "telephone_number": "630-369-5225",
            "fax_number": "630-369-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN A WEYNETH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "CREDENTIALING AGENT CONTRACT LABOR",
        "authorized_official_telephone_number": "928-779-4404",
        "authorized_official_credential": "CREDENTIALING AGENT"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRYAN A WEYNETH DDS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Natalie Anne Brun, LCPC
• Tino Bruno, FNP-C, TRT
• Jennifer Brunsting, OTR/L
• Laura Bruschuk, LCPC
• Connie Brushaber
• Anthony J Bryan, DPT
• Jeanne Bryant
• Lauren Gail Brymer, LCPC, CADC
• Hannah A Brzeczek
• Diane Bubeck, LMFT, RD, LDN, CLT

• All providers in Naperville, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.