DR. BRANDON ROGERS PRUSA (NPI# 1295045797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295045797 |
| Entity Type | Individual |
| Full Name | DR. BRANDON ROGERS PRUSA |
| Credential | DDS |
| Practice Address |
4516 S Damen Ave Chicago IL 60609-3013 |
| Mailing Address |
2348 N Lister Ave Apt 407 Chicago IL 60614-2994 |
| Practice Telephone | 7738690200 |
| Mailing Telephone | 7859795147 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019028511 | IL | Dental Providers |
| Street Address |
4516 S DAMEN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60609-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629249610 | Studio Dental, LLC | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2008-03-18 |
| 1922588664 | Brian Chang | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2018-08-21 |
| 1043703317 | Asima Chughtai | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2018-06-12 |
| 1760902878 | Alexander David Einbinder | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2017-06-21 |
| 1003354911 | Pinkesh Shah | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2017-02-11 |
| 1003266958 | Francesca Jessica Gattuso | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2016-06-21 |
| 1144605981 | Tiffany Chen | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2015-07-22 |
| 1780090043 | Aita Koopahi | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2014-07-08 |
| 1760816557 | Jeremy Winter | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2013-08-28 |
| 1518228667 | David Bumsang Choi | Dentist | 4516 S Damen Ave, Chicago, IL 60609-3013 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843152 | Healing and Fuerza Therapy LLC | Clinic/Center | 3735 S Wallace St 1r, Chicago, IL 60609 | 2020-05-26 |
| 1306407721 | Athletico Ltd | Physical Therapist | 5336 S State St, Chicago, IL 60609 | 2019-06-26 |
| 1396157939 | Unlimited Resources | Private Vehicle | 8104 S. Kingston, Chicago, IL 60609 | 2014-06-02 |
| 1013215474 | Giles B. Mizock M.d. Ltd. | Obstetrics & Gynecology | 5025 W. Paulina, Methodist Hosp, Chicago, IL 60609 | 2011-03-09 |
| 1164691630 | Alfreda D Beard | Dentist | 5050 So State, Chicago, IL 60609 | 2008-02-28 |
| 1588876510 | Victor P Gutierrez | Chiropractor | 1824 W. 47th St., Chicago, IL 60609 | 2007-05-03 |
| 1619092558 | Highlander Care Center, LLC | Skilled Nursing Facility | 4815 S Western Ave, Chicago, IL 60609 | 2007-03-20 |
| 1437295482 | Rolando A Lara | Internal Medicine | 1708 W 47th St, Chicago, IL 60609 | 2007-01-29 |
| 1497765168 | Judith H Mcdevitt | Nurse Practitioner | 734 W. 47th Street, Ihc South, Chicago, IL 60609 | 2006-08-08 |
| 1790795474 | Lorrita Marie Verhey | Nurse Practitioner | 734 W. 47th Street South, Ihc, Chicago, IL 60609 | 2006-08-08 |
| Find all providers in zip 60609 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1710598271 | Amandeep Kaur Brar | Dentist | 1255 S Michigan Ave Apt 3704, Chicago, IL 60605-3324 | 2020-08-10 |
| 1770193971 | Alex Sarpong | Dentist | 801 S Paulina St Rm 361, Chicago, IL 60612-7210 | 2020-08-03 |
| 1285243675 | Alicia Marie Karczewski | Dentist | 845 N Michigan Ave Ste 922e, Chicago, IL 60611-2194 | 2020-07-30 |
| 1740898154 | Zeeshan Anjum | Dentist | 2322 S Canal St Unit 402, Chicago, IL 60616-2021 | 2020-07-22 |
| 1619594835 | Rizina Hakimiyan | Dentist | 4849 N Milwaukee Ave Ste 403, Chicago, IL 60630-2169 | 2020-07-03 |
| 1235756735 | Payal K Shah | Dentist | 330 N Jefferson St Apt 1906, Chicago, IL 60661-1322 | 2020-06-30 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1023633054 | Jennifer Kirk Munaretto | Dentist | 1224 W Van Buren St Apt 801, Chicago, IL 60607-3367 | 2020-06-16 |
| 1669097614 | Seon Gyeong Park | Dentist | 1150 W 15th St Unit 236, Chicago, IL 60608-3688 | 2020-06-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.