Active NPI
Bradley Vera, DDS
- Dentist
- Port Arthur, TX
National Provider Identifier
1689377335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40573
- Practice address
- 2780 Highway 365 Ste C
Port Arthur, TX 77640-2191 - Phone
- (409) 332-4701
- NPI assigned
- Mar 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40573 | TX | Primary |
Addresses
Primary practice location
2780 Highway 365 Ste C
Port Arthur, TX 77640-2191
Mailing address
2780 Highway 365 Ste C
Port Arthur, TX 77640-2191
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40573 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1689377335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 HIGHWAY 365 STE C",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776402191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 HIGHWAY 365 STE C",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776402191",
"telephone_number": "409-332-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "BRADLEY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-22",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "40573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.