Organization Active NPI

Bradley Roberts & Associates PLLC

  • General Practice Dentistry
  • Burlington, NC
National Provider Identifier
1902452139
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRADLEY ROBERTS & ASSOCIATES PLLC
Practice address
1135 N Church St
Burlington, NC 27217-2701
Phone
(623) 282-9959
Fax
(602) 429-8200
NPI assigned
Aug 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Teresa Zwicky
Title
Credentialing Manager
Phone
(480) 866-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1135 N Church St
Burlington, NC 27217-2701

Mailing address

1135 N Church St
Burlington, NC 27217-2701
Phone (336) 395-1627

Other names 1

  • Triad Kids Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bradley Roberts Associates PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7170 W Camino San Xavier
Ste C109
Glendale, AZ 85308

1135 N Church St
Burlington, NC 27217
Phone (336) 395-1627

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": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1902452139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 N CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172701",
            "telephone_number": "336-395-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 N CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172701",
            "telephone_number": "623-282-9959",
            "fax_number": "602-429-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY ROBERTS & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "ZWICKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-866-8811"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.