Active NPI
Brad Alexander McKenzie
- General Practice Dentistry
- Welches, OR
National Provider Identifier
1285634097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D7819
- Practice address
- 24540 E. Welches Rd.
Welches, OR 97067 - Phone
- (503) 622-3085
- Fax
- (503) 622-3753
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D7819 | OR | Primary |
Addresses
Primary practice location
24540 E. Welches Rd.
Welches, OR 97067
Mailing address
PO Box 293
324540 E. Welches Rd.
Welches, OR 97067-0293
Phone (503) 622-3085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brad a. McKenzie | Past | Accepting new patients | |
| Robert H Kelly, DMD PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1285634097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 293",
"address_2": "324540 E. WELCHES RD.",
"city": "WELCHES",
"state": "OR",
"postal_code": "970670293",
"telephone_number": "503-622-3085",
"fax_number": "503-622-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24540 E. WELCHES RD.",
"city": "WELCHES",
"state": "OR",
"postal_code": "97067",
"telephone_number": "503-622-3085",
"fax_number": "503-622-3753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "BRAD",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D7819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Welches, OR
- Robert H Kelly, DMD
- Hilari Diana Kolstad
- Ericka Elise Lafever, LMT
- Julie Lazar, CHW
- Douglas Raymond Lyon, MD
- Mountain Life Clinic LLC (Mountain Life Clinic)
- Northwest Medical Foundation of Tillamook (Adventist Health Tillamook Medical Group Hoodland)
- Robert H Kelly, DMD PC (McKenzie Dental)
- Ian Z Schroeder, LPC, CADC III
- Janet S. Whitacre, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.