Individual provider Active NPI

Bradley P Adey, D.M.D.

  • General Practice Dentistry
  • Kennett Square, PA
National Provider Identifier
1477720100
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS037593 Issued in PA
Practice address
120 Lafayette St
Kennett Square, PA 19348-3000
Phone
(610) 444-2928
Fax
(610) 465-8964
NPI assigned
May 12, 2008
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G3-0000346 DE
General Practice Dentistry 1223G0001X DS037593 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

120 Lafayette St
Kennett Square, PA 19348-3000

Mailing address

120 Lafayette St
Kennett Square, PA 19348-3000
Phone (610) 444-2928

Other practice location 1

501 W 14th St
Wilmington, DE 19801-1013
Phone (302) 733-1042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G3-0000346DEMDGeneral Practice Dentistry
DS037593PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1477720100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAFAYETTE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483000",
            "telephone_number": "610-444-2928",
            "fax_number": "610-465-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAFAYETTE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483000",
            "telephone_number": "610-444-2928",
            "fax_number": "610-465-8964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W 14th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011013",
            "country_code": "US",
            "telephone_number": "302-733-1042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEY",
        "first_name": "BRADLEY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G3-0000346",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037593",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.