Martha Bryden, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS024906L Issued in PA

Practice address

664 Mahoning St
Milton, PA 17847-2240

Phone

(570) 742-8231

Fax

(570) 742-4980

NPI assigned

Jul 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Bryden & Kessel Family Dentistry

  • General Practice Dentistry
  • Milton, PA
  • NPI 1295752269
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043237001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 MAHONING ST",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178472240",
            "telephone_number": "570-742-8231",
            "fax_number": "570-742-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 MAHONING ST",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178472240",
            "telephone_number": "570-742-8231",
            "fax_number": "570-742-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYDEN",
        "first_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024906L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "0010416430001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "735573",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behavioral Specialists Incorporated
• Rudolph D Bescherer Jr., D.O.
• Wesley Joseph Bowers, PHARMD
• Jonathan P Brady, PHARMD
• Bryden & Kessel Family Dentistry
• Alexis Buck
• Ruth Ann Butrej, F.N.P.
• Guinevere Jolie Realta Caprari, PHARMD
• James Lee Carl, D.C.
• Central Susquehanna Intermediate Unit

• General Practice Dentistry in Milton, PA
• Providers in Milton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.