Active NPI
Brady Robles, DDS
- Dentist
- Paso Robles, CA
National Provider Identifier
1316379886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6548
- Practice address
- 2727 Buena Vista Dr Ste 110
Paso Robles, CA 93446-8581 - Phone
- (805) 238-1118
- Fax
- (805) 369-2055
- NPI assigned
- Aug 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6548 | OK | Primary |
Addresses
Primary practice location
2727 Buena Vista Dr Ste 110
Paso Robles, CA 93446-8581
Mailing address
2727 Buena Vista Dr Ste 110
Paso Robles, CA 93446-8581
Phone (805) 238-1118
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6548 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1316379886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 BUENA VISTA DR STE 110",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934468581",
"telephone_number": "805-238-1118",
"fax_number": "805-369-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 BUENA VISTA DR STE 110",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934468581",
"telephone_number": "805-238-1118",
"fax_number": "805-369-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "BRADY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-06",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paso Robles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.