DR. BRIAN ANDREW PRENTICE DDS NPI 1265442073

NPI Information

  • NPI: 1265442073
  • Provider Name: DR. BRIAN ANDREW PRENTICE, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14831 W 159TH ST STE 1
    LOCKPORT, IL
    ZIP 60491
  • Phone: (630) 324-5369

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NPI Details

DR. Brian Andrew Prentice, DDS is a general practice dentist in Lockport, IL with 25 years of experience. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Brian Andrew Prentice, DDS NPI is 1265442073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: THE DENTAL SCHOOL AT UNIVERSITY OF TEXAS HSC AT SAN ANTONIO
Graduation Year:2001

The provider's business location address is:

14831 W 159TH ST STE 1
LOCKPORT, IL
ZIP 60491-008
Phone: (630) 324-5369
Fax: (815) 744-7059

The NPI 1265442073 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Imaging of jaws and skull (HCPCS:70350)
  • X-ray of lower jaws, upper jaws and teeth (HCPCS:70355)
  • Ct scan of face without contrast (HCPCS:70486)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 8/8/2006 and was last updated on 1/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019.031399ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11295165439OTHERBARRINGTON SVC LOCATION
2P01931253OTHERRAILROAD PTAN
3F400420356OTHERMEDICARE PART B PTAN
41205145554OTHERSHOREWOOD SVC LOCATION
5F400420355OTHERMEDICARE PART B PTAN
61306177241OTHEROAKBROOK SVC LOCATION
71508198474OTHERCHICAGO SVC LOCATION
81760882005OTHERSKOKIE SVC LOCATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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