Bradley W Eckhardt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN-9157 Issued in CO

Practice address

2855 35TH Ave Unit B
Greeley, CO 80634-9474

Phone

(970) 660-0925

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Locations

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.

• Select Smiles

  • Dental Clinic/Center
  • Greeley, CO
  • NPI 1962167064
  NPD Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1104850379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 35TH AVE UNIT B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349474",
            "telephone_number": "970-660-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 35TH AVE UNIT B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349474",
            "telephone_number": "970-660-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKHARDT",
        "first_name": "BRADLEY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN-9157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M. Eastin, M.A.
• Nicole Jennifer Eaton
• Krystal Ebbinghaus
• Ariadne Vogel Ebel, D.O,
• John B Ebens, MD
• Terry Allen Eckles, DDS
• Brandy Skyler Eckley
• Bennett Edgerly, PH.D., LPC
• Dominique Edgerly, LCSW
• Bradford Newhall Edgren, DDS, MS

• General Practice Dentistry in Greeley, CO
• Providers in Greeley, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.