Organization Active NPI

Kendrick Brede DMD

  • Dentist
  • Needham, MA
National Provider Identifier
1700959251
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14790 Issued in MA
Legal business name
KENDRICK BREDE DMD
Practice address
1253 Highland Ave
Needham, MA 02492
Phone
(781) 444-1505
Fax
(781) 444-1505
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Kendrick R Brede, DMDNPI 1073675443
Title
Owner Dentist
Phone
(781) 444-1505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14790 MA Primary

Addresses

Primary practice location

1253 Highland Ave
Needham, MA 02492

Mailing address

1253 Highland Ave
Needham, MA 02492
Phone (781) 444-1505

Other names 1

  • Needham Laser Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1253 Highland Ave
Needham, MA 02492
Phone (781) 444-1505

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1700959251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02492",
            "telephone_number": "781-444-1505",
            "fax_number": "781-449-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02492",
            "telephone_number": "781-444-1505",
            "fax_number": "781-444-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRICK BREDE DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "BREDE",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "781-444-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "14790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Needham Laser Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.