Individual provider Active NPI

James Bradley Juday, D.D.S.

  • Dentist
  • Detroit, MI
National Provider Identifier
1215001250
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901016645 Issued in MI
Practice address
7815 E Jefferson Ave
Lower Level
Detroit, MI 48214-3704
Phone
(313) 499-4775
Fax
(313) 499-4908
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901016645 MI Primary

Addresses

Primary practice location

7815 E Jefferson Ave
Lower Level
Detroit, MI 48214-3704

Mailing address

7815 E Jefferson Ave
Lower Level
Detroit, MI 48214-3704
Phone (313) 499-4775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160620002023 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951692003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215001250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 E JEFFERSON AVE",
            "address_2": "LOWER LEVEL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143704",
            "telephone_number": "313-499-4775",
            "fax_number": "313-499-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 E JEFFERSON AVE",
            "address_2": "LOWER LEVEL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143704",
            "telephone_number": "313-499-4775",
            "fax_number": "313-499-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDAY",
        "first_name": "JAMES",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.