John Brady, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1563 Issued in AK

Practice address

515 7TH Ave Ste 220
Fairbanks, AK 99701-4949

Phone

(907) 452-8296

Fax

(907) 452-8298

NPI assigned

Aug 10, 2010

Last updated

Jun 5, 2014By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wilson DMD a Professional Dental Corporation

  dba Magnolia Sleep Solutions

  • Durable Medical Equipment & Medical Supplies
  • Yuba City, CA
  • NPI 1003657669
  NPD
• Fairbanks Family Dental Care Inc

  • Dentist
  • Fairbanks, AK
  • NPI 1225373947
  NPD (past)

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1205141678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 7TH AVE STE 220",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014949",
            "telephone_number": "907-452-8296",
            "fax_number": "907-452-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 7TH AVE STE 220",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014949",
            "telephone_number": "907-452-8296",
            "fax_number": "907-452-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Brabham
• Jennifer Susan Bracamontes, MD
• Caleb Brackett
• Kristin Ann Brooks Bradshaw, OTRL
• Rebecca Bradshaw, LMT
• Branching Out Supported Services LLC (Birch House)
• Michelle D Brand
• Brigid Brandon, MA,CCC-SLP
• Naja Brandt
• Jason Brantley

• Dentist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.