Organization Active NPI

Bradley J. Lagers DMD, PC

  • Dental Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1306035654
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2390 Issued in AZ
Legal business name
BRADLEY J. LAGERS DMD, PC
Practice address
4845 E Thunderbird Rd
Suite 3
Scottsdale, AZ 85254-3556
Phone
(602) 996-1660
NPI assigned
Oct 22, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Bradley John Lagers, DMDNPI 1891709374
Title
President
Phone
(602) 996-1660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2390 AZ Primary

Addresses

Primary practice location

4845 E Thunderbird Rd
Suite 3
Scottsdale, AZ 85254-3556

Mailing address

4845 E Thunderbird Rd
Suite 3
Scottsdale, AZ 85254-3556
Phone (602) 996-1660

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1306035654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 E THUNDERBIRD RD",
            "address_2": "SUITE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543556",
            "telephone_number": "602-996-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 E THUNDERBIRD RD",
            "address_2": "SUITE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543556",
            "telephone_number": "602-996-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY J. LAGERS DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "LAGERS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-996-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.