Jillian Brady, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

12012473A Issued in IN

Practice address

5150 E Stop 11 Rd
Suite 11
Indianapolis, IN 46237-8628

Phone

(317) 889-6000

Fax

(317) 889-1618

NPI assigned

May 17, 2016

Last updated

May 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jillian C. Brady, DDS, LLC

  • Dental Clinic/Center
  • Indianapolis, IN
  • NPI 1033746136
  NPD Authorized official
• Idc Dental Group, Inc.

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1093164535
  NPD (past)

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1699122945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 E STOP 11 RD",
            "address_2": "SUITE 11",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378628",
            "telephone_number": "317-889-6000",
            "fax_number": "317-889-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E STOP 11 RD",
            "address_2": "SUITE 11",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378628",
            "telephone_number": "317-889-6000",
            "fax_number": "317-889-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JILLIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012473A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lynn Bradshaw
• Olivia Kay Bradshaw, PA-C
• Patricia Bradshaw, MD
• Rhiannon Jean Bradshaw, MD
• Angela R Brady, NP
• Krista Nicole Brady, MA, BCBA
• Lauren Brady, LPC
• Lauren Danielle Brady, CO
• Makenna Brady, LMHCA
• Niall Brady

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.