Individual provider Active NPI

Bradford Walker Ganz, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Stamford, CT
National Provider Identifier
1003486911
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13056 Issued in CT
Practice address
127 Greyrock PL
Stamford, CT 06901-3100
Phone
(203) 323-5239
NPI assigned
Jul 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 064303 NY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 13056 CT Primary

Addresses

Primary practice location

127 Greyrock PL
Stamford, CT 06901-3100

Mailing address

12 Oak LN
Weston, CT 06883-1110
Phone (203) 984-6308

Other practice location 1

19 Woodside Pl
Highland, NY 12528-1413
Phone (845) 691-8330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13056CTMDOrthodontics and Dentofacial Orthopedic Dentist
064303NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradford W Ganz, DMD, PLLC Orthodontics and Dentofacial Orthopedics PastSince Oct 20, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1003486911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OAK LN",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068831110",
            "telephone_number": "203-984-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 GREYROCK PL",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013100",
            "telephone_number": "203-323-5239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Woodside Pl",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "NY",
            "postal_code": "125281413",
            "country_code": "US",
            "telephone_number": "845-691-8330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANZ",
        "first_name": "BRADFORD",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "064303",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "13056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.