Tiffany A. Brady, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN21459 Issued in FL

Practice address

100 Nicolls Rd
Rockland Hall, Room 114
Stony Brook, NY 11794-8701

Phone

(631) 632-3181

Fax

(631) 632-8717

NPI assigned

May 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1407292824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 NW 53RD ST",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331664653",
            "telephone_number": "954-417-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NICOLLS RD",
            "address_2": "ROCKLAND HALL, ROOM 114",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948701",
            "telephone_number": "631-632-3181",
            "fax_number": "631-632-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "TIFFANY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN21459",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21459",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Joseph Bove, DO
• Rachel Boykan, M.D.
• Marie Therese Boylan, RN
• Alexandra Mary Boyle
• Nicholas Richard Braccio
• Brain & Spine Surgery, P.C.
• Arthur Irwin Bram
• Ethan Samuel Brandler, MD
• Brandon M Henkowicz DC, P.C.
• Jozan Erica Brathwaite, M.D.

• Pediatric Dentistry in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.