C.Jeffery Braddy,DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5796 Issued in NC

Legal business name

C.JEFFERY BRADDY,DDS

Practice address

404 Lindsay St
High Point, NC 27262-4879

Phone

(336) 883-9300

Fax

(336) 883-6668

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. C. Jeffery Braddy, DDS

Title

Owner

Phone

(336) 883-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claude Jeffery Braddy, DDS

  • General Practice Dentistry
  • High Point, NC
  • NPI 1487681128
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225241730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624879",
            "telephone_number": "336-883-9300",
            "fax_number": "336-883-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624879",
            "telephone_number": "336-883-9300",
            "fax_number": "336-883-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.JEFFERY BRADDY,DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADDY",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-883-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990969",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burhan Zahid Butt
• Ruxandra Buzoeanu, AGNP
• Shapel Lucille Bynum, LCMHC
• Jon Bryan Byrd, D.D.S.
• Nancy Byrd, O.T.
• Yuri Milton Cabeza, MD
• Zachary Paul Cabon
• Lauren Cadwell
• Melina Ree Calderon, PA-C
• Alicia Caldwell

• General Practice Dentistry in High Point, NC
• Providers in High Point, NC by specialty
• General Practice Dentistry in North Carolina

• 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.