DRS. Bradshaw and Hathaway

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2005 Issued in TN

Legal business name

DRS. BRADSHAW AND HATHAWAY

Practice address

300 W Watauga Ave
Johnson City, TN 37604-5549

Phone

(423) 929-1126

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John William Bradshaw

Title

Orthodontist

Phone

(423) 929-1126

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Daniel W Bradshaw, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Johnson City, TN
  • NPI 1861405821
  NPD (past)
• John Lusk Hathaway, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Johnson City, TN
  • NPI 1790798718
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790881233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WATAUGA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045549",
            "telephone_number": "423-929-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WATAUGA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045549",
            "telephone_number": "423-929-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. BRADSHAW AND HATHAWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "423-929-1126",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "2005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL/TNCARE",
            "identifier": "7282",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL/TNCARE",
            "identifier": "16639",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DRB Consulting Services, LLC
• Chad A Drey, MD
• Daniel Brooks Drinnen, M.D.
• Morgan Driskill
• DRS Montenegro & de Wit
• DRS. Ellis & Mefford Dental Associates, PLLC
• DRS. Kellum & Pike, PC Optometrists
• Michael N. Dube, MD
• Barbara Eileen Dubois
• Sanya Dudani, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.