Bradley L Parker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30945 Issued in CA

Practice address

750 Kains Ave
San Bruno, CA 94066-3432

Phone

(650) 588-4255

Fax

(650) 873-3153

NPI assigned

Aug 21, 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)

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 and National Provider Directory roles.

• Christina Chen, DDS, Inc.

  • General Practice Dentistry
  • San Bruno, CA
  • NPI 1912780354
  NPD (past)
• Dustin Lee, DDS, Inc

  dba Simply Dentistry

  • General Practice Dentistry
  • San Bruno, CA
  • NPI 1437687571
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144335894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 KAINS AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663432",
            "telephone_number": "650-588-4255",
            "fax_number": "650-873-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KAINS AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663432",
            "telephone_number": "650-588-4255",
            "fax_number": "650-873-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BRADLEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhoel Paragas
• Angela Cristina Pare
• Ankur B Parikh, DDS
• Alvaro Gabriel Parinango Canchis
• Judy Park, RN
• Tawanda Parker
• Amy Parra
• Gary R. Parsons, D.D.S.
• Yesha Vikash Patel, PHARM D
• Marianne Patio

• General Practice Dentistry in San Bruno, CA
• Providers in San Bruno, CA by specialty
• General Practice Dentistry in California

• 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.