Kendrick R Brede, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14790 Issued in MA

Practice address

1253 Highland Ave
Needham, MA 02492-2682

Phone

(781) 444-1505

Fax

(781) 449-3231

NPI assigned

Dec 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Kendrick Brede DMD

  dba Needham Laser Dentistry

  • Dentist
  • Needham, MA
  • NPI 1700959251
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073675443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922682",
            "telephone_number": "781-444-1505",
            "fax_number": "781-449-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922682",
            "telephone_number": "781-444-1505",
            "fax_number": "781-449-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDE",
        "first_name": "KENDRICK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Daniels Bourque, MSW, LICSW
• Elizabeth M Bowen
• Blythe Elizabeth Bowman, M.D.
• Katherine Mary Bradley, N.P.
• Susan Joanitta Brathwaite, RN
• Briarwood Operator, LLC (Briarwood Rehabilitation and Healthcare Center)
• Catherine Ward Briedis
• Bright Eyes Needham, PLLC (Bright Eyes Needham)
• Sharon S Brightman
• David Brignall, M.D.

• General Practice Dentistry in Needham, MA
• Providers in Needham, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.