Bradley S. Isaacson, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08320 Issued in MN

Legal business name

BRADLEY S. ISAACSON, DDS, PA

Practice address

4831 Nicollet Ave
Minneapolis, MN 55419-5534

Phone

(612) 822-2324

Fax

(612) 822-6763

NPI assigned

Jul 3, 2007

Last updated

Jan 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brad S Isaacson, DDS

Title

Owner

Phone

(612) 822-2324

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Tangletown Dental Other name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Norman Dau III, DDS

  • Dentist
  • Minneapolis, MN
  • NPI 1205899408
  NPD (past)
• James Erling Indrehus, DDS

  • Dentist
  • Richfield, MN
  • NPI 1487719019
  NPD (past)
• Bradley Samuel Isaacson, DDS

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1427062819
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1942408778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195534",
            "telephone_number": "612-822-2324",
            "fax_number": "612-822-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195534",
            "telephone_number": "612-822-2324",
            "fax_number": "612-822-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY S. ISAACSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-822-2324",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "08320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1427062819",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "08320",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3018382",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tangletown Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taylor Braaten
• McKenzie Brace
• Holly James Brackett, LICSW
• Susan Marie Brackman, RN
• Kesha L Bradford, MSW, LGSW
• Brittany Ann Bradley, PA-C
• Henrietta Bradley, RD
• Shanna Joy Bradley, CRNA
• Tyler Bradley, D.P.T.
• Mary A Bradmiller, PHD

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.