Kent Dennis Brady, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

06217 Issued in IA

Practice address

3755 E 33Rd St
Des Moines, IA 50317-3844

Phone

(515) 422-9888

Fax

(515) 265-8641

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1518034883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 E 33RD ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503173844",
            "telephone_number": "515-422-9888",
            "fax_number": "515-265-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 E 33RD ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503173844",
            "telephone_number": "515-422-9888",
            "fax_number": "515-265-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "KENT",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "06217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139253",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Bradley, ARNP
• Bradley'S Reliable Transportation
• Chad Bradshaw, PA-C
• Christina Samantha Brady, RN
• Corbin Garrett Brady, DDS
• Leanna J Brady, LMHC
• Kirk Bragg, L.I.S.W.
• Brain Bridge Therapy
• Elizebeth A Brake, PMHNP
• Vilma Bramasco, ARNP

• Dentist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.