Brad a. McKenzie

Primary specialty

DentistTaxonomy code 122300000X

License

D7819 Issued in OR

Legal business name

BRAD A. MCKENZIE

Doing business as

McKenzie Dental

Practice address

24540 E Welches Rd
Welches, OR 97067

Phone

(503) 622-3085

Fax

(503) 622-3753

NPI assigned

Mar 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brad McKenzie, D.D.S.NPI 1285634097

Title

Dentist

Phone

(503) 622-3085

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McKenzie Dental Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brad Alexander McKenzie

  • General Practice Dentistry
  • Welches, OR
  • NPI 1285634097
  NPD (past) Authorized official
• Robert H Kelly, DMD

  • Dentist
  • Welches, OR
  • NPI 1811101876
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1518280072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "WELCHES",
            "state": "OR",
            "postal_code": "970670293",
            "telephone_number": "503-622-3085",
            "fax_number": "503-622-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24540 E WELCHES RD",
            "city": "WELCHES",
            "state": "OR",
            "postal_code": "97067",
            "telephone_number": "503-622-3085",
            "fax_number": "503-622-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD A. MCKENZIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-622-3085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1285634097",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKenzie Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Byer
• Cassandra Cantu
• Sara J Carey, NP
• Frank George Cooper, M.S., L.P.C.
• Brianna Nicole Dittlinger, MSW, LCSW

• Dentist in Welches, OR
• Providers in Welches, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.