Brad M. Everitt DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

15405 Issued in TX

Legal business name

BRAD M. EVERITT DDS, INC.

Practice address

3780 Leopard St
Corpus Christi, TX 78408-3208

Phone

(361) 883-4785

Fax

(361) 883-4788

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brad M Everitt, D.D.S.NPI 1568535821

Title

Dentist / Owner

Phone

(361) 883-4785

Specialties & licenses 1

Addresses

Other names 1

• Westside Dental Center Former legal business name

Locations

Practitioners 1

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

• Brad M Everitt, D.D.S.

  • General Practice Dentistry
  • Corpus Christi, TX
  • NPI 1568535821
  NPD (past) Authorized official

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1922274943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 LEOPARD ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784083208",
            "telephone_number": "361-883-4785",
            "fax_number": "361-883-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 LEOPARD ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784083208",
            "telephone_number": "361-883-4785",
            "fax_number": "361-883-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD M. EVERITT DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "EVERITT",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "361-883-4785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Dental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Clayton Tyler Boyd, O.D.
• Ashley Kasperski Boyer
• Gerard W Boynton, MD
• Fred B Brackett, M.D.
• Katherine Brackin
• Braden Partners LP
• Chad Bradford, M.D.
• Frani Bradley, LPC
• Kathleen Paige Bradley, MS
• Lynn Brady, LVN

• Dentist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.