Individual provider Active NPI

Melissa J Brady, D.M.D.

  • Dentist
  • Milwaukie, OR
National Provider Identifier
1164739884
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D 9486 Issued in OR
Practice address
3245 SE Campbell St
Milwaukie, OR 97222-6618
Phone
(503) 653-8320
NPI assigned
Sep 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D 9486 OR Primary

Addresses

Primary practice location

3245 SE Campbell St
Milwaukie, OR 97222-6618

Mailing address

3245 SE Campbell St
Milwaukie, OR 97222-6618
Phone (503) 653-8320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20151228002252 OR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446551964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D 9486ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
United Indian Health Services, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mbrady813490@direct.ochin.org
  • Direct secure messaging: mbrady151655@direct.ochin.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1164739884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 SE CAMPBELL ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226618",
            "telephone_number": "503-653-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 SE CAMPBELL ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226618",
            "telephone_number": "503-653-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "MELISSA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D 9486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.