DR. BRANDON MARSHALL WEST (NPI# 1528613718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528613718 |
Entity Type | Individual |
Full Name | DR. BRANDON MARSHALL WEST |
Credential | DDS, MS |
Practice Address |
3001 Green Bay Rd Bldg 133 North Chicago IL 60064-3048 |
Mailing Address |
2829 N Lincoln Ave Chicago IL 60657-6932 |
Practice Telephone | 2246103749 |
Mailing Telephone | 7735288900 |
Enumeration Date | 2019-08-05 |
Last Update Date | 2020-04-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 019.032256 | IL | Dental Providers |
Y | 1223P0300X |
Dentist Specialization: Periodontics |
021.002981 | IL | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
201 N Arlington Heights Rd Ste 100, Arlington Heights, IL 600046059 | 8472538501 | |
2829 N Lincoln Ave, Chicago, IL 606576932 | 7735288900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265845994 | Brandon Kyle West | Physician Assistant | 2700 Westside Dr Nw Ste 301, Cleveland, TN 37312 | 2014-06-10 |
1801080650 | Brandon A West | Podiatrist | 1266 S Commerce Rd, Walled Lake, MI 48390-3008 | 2007-09-04 |
1871598425 | Brandon D West | Physician Assistant | 1668 Mulkey Rd Ste 164, Austell, GA 30106-1242 | 2005-06-20 |
1457847436 | Brandon Christopher West | Pharmacist | 1265 Interstate Dr Ste 111, Cookeville, TN 38501-5197 | 2018-07-02 |
1134517287 | Brandon West | Case Manager/Care Coordinator | 105 W Griggs Ave, Las Cruces, NM 88001 | 2014-12-23 |
1407250723 | Brandon West | Specialist/Technologist, Other | 13417 Induran Dr, Bakersfield, CA 93314-6644 | 2014-10-15 |
1750490660 | Brandon A. West | Family Medicine | 1133 Call Pl Ste A, Pocatello, ID 83201-3076 | 2006-08-30 |
Street Address |
3001 GREEN BAY RD BLDG 133 |
City | NORTH CHICAGO |
State | IL |
Zip Code | 60064-3048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
1962974964 | Kristina Naidicz | Social Worker | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064-3048 | 2019-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
1982010575 | Ana Marie Callo-ramirez | Registered Nurse | 3001 North Greenbay Rd, North Chicago, IL 60064 | 2014-07-03 |
Find all providers in zip 60064 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548432420 | Nadia Kawar | Dentist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2008-03-31 |
1891765731 | Brenda R Hamilton | Dentist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2006-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891309399 | Dominik Dubravec Dds Mmsc PC | Dentist | 555 W Court St Ste 202, Kankakee, IL 60901-3674 | 2020-09-02 |
1598374167 | Dubravec Periodontal Specialists PC | Dentist | 20635 Abbey Woods Ct N Ste 203, Frankfort, IL 60423-3186 | 2020-07-29 |
1972145183 | Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr | Dentist | 820 E 87th St Ste 201, Chicago, IL 60619-6256 | 2019-10-09 |
1083192389 | Amirreza Ghassemi | Dentist | 2800 College Ave Bldg 285, Alton, IL 62002-4742 | 2018-07-30 |
1508355678 | Periodontal Associates, LLP | Dentist | 845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216 | 2018-05-04 |
1043750714 | Bloomingdale Dental Rez, PC | Dentist | 1 Tiffany Pt Ste 209, Bloomingdale, IL 60108-2916 | 2017-03-01 |
1114398831 | Dubravec Periodontal Associates, PC | Dentist | 1900 Spring Rd, Suite 205, Oak Brook, IL 60523-1447 | 2015-10-08 |
1689059297 | Amer Atassi | Dentist | 6224 S Elm St, Burr Ridge, IL 60527-5228 | 2015-07-24 |
1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
1215345939 | Mark Kolozenski, Dds, Ms, PC | Dentist | 10083 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2014-07-25 |
Find all providers with the same taxonomy |
City | NORTH CHICAGO |
Zip Code | 60064 |
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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.