Individual provider Active NPI

Lonn Edward Brander, D.D.S.

  • Dentist
  • Sycamore, IL
National Provider Identifier
1972639284
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019-022322 Issued in IL
Practice address
2550 Hauser Ross Drive
Suite 300
Sycamore, IL 60178
Phone
(815) 756-2295
Fax
(815) 748-3033
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019-022322 IL Primary

Addresses

Primary practice location

2550 Hauser Ross Drive
Suite 300
Sycamore, IL 60178

Mailing address

2550 Hauser Ross Drive
Suite 300
Sycamore, IL 60178
Phone (815) 756-2295

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160203000325 IL Order and Referring Only - DentistPractitioner - Dentist 7911138656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
019-022322ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lonn E Brander DDS LTD Dentist PastSince Jul 1, 1992 Accepting new patients
Lonn E Brander DDS LTD Dentist PastSince Dec 28, 2025 Accepting new patients
Pointcore, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1972639284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 HAUSER ROSS DRIVE",
            "address_2": "SUITE 300",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60178",
            "telephone_number": "815-756-2295",
            "fax_number": "815-748-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HAUSER ROSS DRIVE",
            "address_2": "SUITE 300",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60178",
            "telephone_number": "815-756-2295",
            "fax_number": "815-748-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDER",
        "first_name": "LONN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-022322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.