Bryan a. Lipson, LTD, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRYAN A. LIPSON, LTD, PC

Practice address

18400 Maple Creek Dr
Suite 100
Tinley Park, IL 60477-2976

Phone

(708) 632-9303

Fax

(708) 532-9324

NPI assigned

Nov 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bryan A. Lipson, DDSNPI 1770797854

Title

President

Phone

(708) 532-9303

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Bryan Lipson, DDS

  • General Practice Dentistry
  • Tinley Park, IL
  • NPI 1770797854
  NPD (past) Authorized official

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1982884599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 MAPLE CREEK DR",
            "address_2": "SUITE 100",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772976",
            "telephone_number": "708-632-9303",
            "fax_number": "708-532-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 MAPLE CREEK DR",
            "address_2": "SUITE 100",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772976",
            "telephone_number": "708-632-9303",
            "fax_number": "708-532-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN A. LIPSON, LTD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "LIPSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-532-9303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brown, M.S. CCC-SLP/L
• Kristyn Brown
• Catrina A Brucato, PA-C
• Wendy Brunette, PTA
• Jordan Clark Bruni
• Adele M Bryant, L.C.P.C.
• Kamryn Bucci, RBT
• Alexus Buchanan, LPN
• Marisol Bucio, MA, NCC, LPC
• Tekekee Desha Buckner, FNP

• Dental Clinic/Center in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.