Leah Brady, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

2070 Issued in ND

Legal business name

LEAH BRADY, DDS, PC

Practice address

1008 E Main St
Mandan, ND 58554-3762

Phone

(701) 667-1933

Fax

(701) 667-2115

NPI assigned

Oct 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Leah N Brady, DDS

Title

Dentist

Phone

(701) 667-1933

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ideal Image Dentistry & Spa Doing business as

Locations

Practitioners 1

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

• Frederick Arnold Landgrebe

  • General Practice Dentistry
  • Mandan, ND
  • NPI 1568517779
  NPD (past)

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1295010742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 E MAIN ST",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543762",
            "fax_number": "701-667-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E MAIN ST",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543762",
            "telephone_number": "701-667-1933",
            "fax_number": "701-667-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAH BRADY, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "701-667-1933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ND",
            "license": "2070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40018",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Image Dentistry & Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica L. Lang, DPT
• Darwin K Lange, MD
• Cheryl Lantz
• Keith Larson
• LBG Pharmacy Inc
• Courtney Nicole Ledger, PT, DPT
• Pamela Lee, LPN
• Leidenix PC
• Rachel Ann Leigh
• Leingang Chiropractic & Wellness, PC

• Dentist in Mandan, ND
• Providers in Mandan, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.