J. Bradley Ecker, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

043998-1 Issued in NY

Practice address

413 East Main St
Batavia, NY 14020

Phone

(585) 343-1900

Fax

(585) 343-3601

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• J Bradley Ecker, DDS Pediatric Dentistry

  • Pediatric Dentistry
  • Batavia, NY
  • NPI 1134825185
  NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1598853632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 EAST MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "14020",
            "telephone_number": "585-343-1900",
            "fax_number": "585-343-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 EAST MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "14020",
            "telephone_number": "585-343-1900",
            "fax_number": "585-343-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKER",
        "first_name": "J.",
        "middle_name": "BRADLEY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "043998",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "043998-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01306610",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Dunn, RN
• Kathleen Mary Dwyer, RN
• Rebecca Dziekan, ATC
• Mary Elizabeth Easterbrook, LMT
• Timothy Wayne Eck, NP
• Eckerd Corporation
• Eckerd Corporation
• Edwards and Sisam LLC
• Olga Griselle Edwards
• Richard Albert Edwards Jr., M.D.

• Pediatric Dentistry in Batavia, NY
• Providers in Batavia, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.