Bradley J. Smith D.D.S. PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15223 Issued in MO

Legal business name

BRADLEY J. SMITH D.D.S. PC

Practice address

238 NE Tudor Rd
Lees Summit, MO 64086-5696

Phone

(816) 524-4880

Fax

(816) 524-2868

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Joseph Smith, D.D.SNPI 1003905928

Title

President

Phone

(816) 524-4880

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Joseph Smith, D.D.S.

  • General Practice Dentistry
  • Lees Summit, MO
  • NPI 1003905928
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205960796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-524-4880",
            "fax_number": "816-524-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-524-4880",
            "fax_number": "816-524-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY J. SMITH D.D.S. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-524-4880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "15223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lavon Turee Boyd, LCSW
• Kassandra Boyett
• Shanin Boykin
• Amber Boyle, FNP
• Susan Jean Bradford, OT
• Hannah E. Bradley, LPC
• Sharon Bradley
• Jodi M Brady
• Linda L. Brady, LPC
• Teresa Mae Brady

• General Practice Dentistry in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.