LONN E BRANDER DDS LTD (NPI# 1477975175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477975175 |
| Entity Type | Organization |
| Organization Name | LONN E BRANDER DDS LTD |
| Other Organization Name | BRANDER SLEEP WELLNESS LTD. |
| Practice Address |
5668 E State St Suite 1100 Rockford IL 61108-2490 |
| Practice Telephone | 8159775281 |
| Practice Fax Number | 8159775361 |
| Mailing Telephone | 8159775281 |
| Mailing Fax Number | 8159775361 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-09-08 |
| Authorized Official Name | DR. LONN EDWARD BRANDER (OWNER) |
| Authorized Official Telephone | 8157562295 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 122300000X | Dentist | 019-022322 | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Brander Sleep Wellness Ltd. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457694853 | Lonn E Brander Dds Ltd | Durable Medical Equipment & Medical Supplies | 203 N 2nd St, Dekalb, IL 60115-3234 | 2013-04-03 |
| Street Address |
5668 E STATE ST SUITE 1100 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477553659 | Mark E Hastings | Orthopaedic Surgery | 5668 E State St, Suite 400, Rockford, IL 61108-2490 | 2005-07-28 |
| 1013453075 | Melissa L. Inman | Nurse Practitioner | 5668 E State St, Rockford, IL 61108-2464 | 2017-01-16 |
| 1326408436 | Victoria Mccoy | Nurse Practitioner | 5668 E State St, Rockford, IL 61108-2464 | 2016-03-02 |
| 1447550884 | Tetsuya Takeuchi | Surgery | 5668 E State St, Rockford, IL 61108-2464 | 2010-11-02 |
| 1558686709 | Michael Anthony Hart | Surgery | 5668 E State St, Rockford, IL 61108-2464 | 2010-03-31 |
| 1285965905 | John Eric Player | Surgery | 5668 E State St, Suite 1000, Rockford, IL 61108-2464 | 2010-01-20 |
| 1568795441 | Denise M Nordenberg | Nurse Practitioner | 5668 E State St, Rockford, IL 61108-2464 | 2009-09-10 |
| 1063686848 | Dacia Aurelia Pickering | Surgery | 5668 E State St, #2, Rockford, IL 61108-2490 | 2008-04-14 |
| 1942485735 | Sameer Ansar | Internal Medicine | 5668 E State St, Suite 2000, Rockford, IL 61108-2490 | 2007-12-31 |
| 1750434361 | Drs. Srivastava S.c. | Psychiatry & Neurology | 5668 E State St, Suite 2700, Rockford, IL 61108-2490 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| 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 |
|---|---|---|---|---|
| 1700495074 | Tiffany Kimmel | Dentist | 6085 9 Mile Rd Ne, Rockford, MI 49341-7747 | 2020-07-23 |
| 1174016893 | Above & Beyond Denistry, LLC | Dentist | 364 Financial Ct Ste A, Rockford, IL 61107-6668 | 2018-06-07 |
| 1396255097 | Edwin Gonzalez Montoya | Dentist | 6585 E State St, Rockford, IL 61108-2542 | 2017-10-07 |
| 1124557228 | Alex Moore | Dentist | 6050 Brynwood Dr Ste 205, Rockford, IL 61114-6579 | 2017-06-12 |
| 1245686096 | Adriana Carolina Padron | Dentist | 275 Bienterra Trl Apt 4, Rockford, IL 61107-5882 | 2016-05-11 |
| 1275946113 | Jeffrey Heinz | Dentist | 158 Marcell Dr Ne Ste A, Rockford, MI 49341-1393 | 2014-06-09 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1326390113 | Apex-northwestern Dental Group LLP | Dentist | 364 Financial Ct, Suite A, Rockford, IL 61107-6668 | 2012-10-04 |
| 1285951004 | Bogdan Robert Busan | Dentist | 4035 Morsay Dr Ste 1, Rockford, IL 61107-4875 | 2010-05-03 |
| 1689800021 | Scott Strickland Dds Pllc | Dentist | 380 E. Division St., Rockford, MI 49341 | 2009-05-29 |
| Find all providers in ROCKFORD | ||||
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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.