Active NPI
Bradford Walker Ganz, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Stamford, CT
National Provider Identifier
1003486911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 13056
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13056 | CT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 064303 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradford W Ganz, DMD, PLLC | Orthodontics and Dentofacial Orthopedics | Past | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Highland, NY
- NPI 1235959446
Orthodontics and Dentofacial Orthopedics
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.