Individual provider Active NPI

Bradley Todd Halper, DDS

  • Dentist
  • Delray Beach, FL
National Provider Identifier
1740390509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0010065 Issued in FL
Practice address
7495 West Atlantic Ave
Ste 208
Delray Beach, FL 33446
Phone
(561) 495-9600
Fax
(561) 495-9600
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN0010065 FL Primary

Addresses

Primary practice location

7495 West Atlantic Ave
Ste 208
Delray Beach, FL 33446

Mailing address

4477 Woodfield Blvd
Boca Raton, FL 33434
Phone (561) 988-3014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404000969 FL Order and Referring Only - DentistPractitioner - Dentist 4880991082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0010065FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740390509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4477 WOODFIELD BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33434",
            "telephone_number": "561-988-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 WEST ATLANTIC AVE",
            "address_2": "STE 208",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33446",
            "telephone_number": "561-495-9600",
            "fax_number": "561-495-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPER",
        "first_name": "BRADLEY",
        "middle_name": "TODD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0010065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.