Bradley D. Price, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7079 Issued in IA

Practice address

312 E Linn St
Marshalltown, IA 50158-2951

Phone

(641) 752-4263

Fax

(641) 752-7963

NPI assigned

Nov 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1447322896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E LINN ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582951",
            "telephone_number": "641-752-4263",
            "fax_number": "641-752-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E LINN ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582951",
            "telephone_number": "641-752-4263",
            "fax_number": "641-752-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "BRADLEY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033456",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Pikna, LMHC
• Joseph Clair Pollpeter, M.D.
• Maggie Potter, PA-S
• Jasia Powell
• Lindsey S Powell, AUD
• Micaela Price
• Primary Health Care, Inc.
• Primary Health Care, Inc.
• Primary Health Care, Inc.
• Quakerdale Family Services

• General Practice Dentistry in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.