Individual provider Active NPI

Bradford Roy Pressley, D.D.S

  • General Practice Dentistry
  • Cary, NC
National Provider Identifier
1477648475
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6256 Issued in NC
Practice address
2984 Kildaire Farm Rd
Cary, NC 27511-8965
Phone
(919) 363-0082
Fax
(919) 363-0480
NPI assigned
Oct 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6256 NC Primary

Addresses

Primary practice location

2984 Kildaire Farm Rd
Cary, NC 27511-8965

Mailing address

2984 Kildaire Farm Rd
Cary, NC 27511-8965
Phone (919) 363-0082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20231222000229 NC Practitioner - Dentist 4486004082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Rake, DDS, P.C. CurrentSince Aug 21, 2023 Accepting new patients

Locations

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

201 McCullough Dr
Ste 180
Charlotte, NC 28262
Phone (704) 228-8495

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477648475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2984 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275118965",
            "telephone_number": "919-363-0082",
            "fax_number": "919-363-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2984 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275118965",
            "telephone_number": "919-363-0082",
            "fax_number": "919-363-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSLEY",
        "first_name": "BRADFORD",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.