Brad Podray Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BRAD PODRAY ORTHODONTICS LLC

Practice address

201 S Ankeny Blvd
Ankeny, IA 50023-3116

Phone

(515) 964-5602

NPI assigned

Jan 14, 2019

Last updated

Jan 14, 2019By 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

Brad Andrew Podray, DMD

Title

Owner

Phone

(561) 699-2580

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, and the practitioner matching its NPPES authorized official.

• Krunal Punjabi

  • Dentist
  • Detroit, MI
  • NPI 1295353779
  NPD (past)

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1265906127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500233116",
            "telephone_number": "515-964-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500233116",
            "telephone_number": "515-964-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD PODRAY ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "PODRAY",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-699-2580",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael A Boyer, DPT, ATC
• Jennifer Boyles, DDS
• Daniel E Bozwell, H.I.S.
• Elizabeth Marie Bracciano, OT
• Janiya Lashay Brackenridge
• Kevin Bradford, A.S. C.A.D.C
• Greg Brandt
• Lisa Brekke, PT, DPT
• Sarah Grace Brennan, CCC-SLP
• Briarwood Dental Spa

• Orthodontics and Dentofacial Orthopedics Dentistry in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.