Matthew Brady, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

00201885 Issued in CO

Practice address

7613 Esther Cir
Frederick, CO 80504-5881

Phone

(757) 462-6602

NPI assigned

Jan 27, 2006

Last updated

May 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Firestone Pediatric Dentistry and Orthodontics

  • Pediatric Dentistry
  • Frederick, CO
  • NPI 1558757260
  NPD Authorized official
• Garlock Firestone Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Frederick, CO
  • NPI 1649904236
  NPD

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1477524643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 ANTELOPE RIDGE TRL",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801384235",
            "telephone_number": "757-462-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7613 ESTHER CIR",
            "city": "FREDERICK",
            "state": "CO",
            "postal_code": "805045881",
            "telephone_number": "757-462-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8112",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "00201885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacey Wilemon Baxter, LCSW
• Tara Lucille Benegas
• Dustin Berg, RN, BSN
• Derrick Shilo Betting, LPCC
• Abby Elizabeth Bohall, CCC-SLP
• Randy Phillip Breunig, LPC
• Riley Nicole Buis, COTA/L
• Carolyn Deolinda Bullock, DDS
• Laura Michele Camp, MSN, NP
• Lindsay Campbell

• Pediatric Dentistry in Frederick, CO
• Providers in Frederick, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.