Daniel J Brady, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

1400 Lincoln Hwy
St Charles, IL 60174-3580

Phone

(630) 587-9828

Fax

(630) 587-9833

NPI assigned

Apr 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dougla R. Colthurst D.D.S.,Inc

  • General Practice Dentistry
  • McHenry, IL
  • NPI 1568475218
  NPD (past)
• Oms Dental LLC

  • Dental Clinic/Center
  • McHenry, IL
  • NPI 1841874526
  NPD (past)

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326161126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LINCOLN HWY",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601743580",
            "telephone_number": "630-587-9828",
            "fax_number": "630-587-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LINCOLN HWY",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601743580",
            "telephone_number": "630-587-9828",
            "fax_number": "630-587-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Marie Borgstrom
• Jessica Aman Borst, APRN, CNP
• Sharmistha Bose, PHD
• Alyson Leigh Boze
• Timothy Michael Bradley, MD
• Nancy Meredith Brandes, LCPC
• Teresa Brandt, MSW
• Brannick Clinic of Natural Medicine, S.C.
• Bravo Care of St Charles Inc (Rosewood Care Center of St Charles)
• Meagan Brayton, BCBA

• General Practice Dentistry in St Charles, IL
• Providers in St Charles, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.