Bradford J Rhodes DMD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRADFORD J RHODES DMD

Practice address

1110 SE 122ND Ave
Portland, OR 97233-1112

Phone

(503) 255-7095

NPI assigned

May 16, 2019

Last updated

May 16, 2019By 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

Mrs. Catherine Jensen

Title

Provider Relations Specialist

Phone

(800) 544-2345

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Bradford Jay Rhodes, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1407853567
  NPD (past)

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1992361851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4400",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973028400",
            "telephone_number": "800-544-2345",
            "fax_number": "503-315-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331112",
            "telephone_number": "503-255-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD J RHODES DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SPECIALIST",
        "authorized_official_telephone_number": "800-544-2345",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Rae Bradee, M.D.
• Katherine Despina Braden, DPT
• Ryan Andrew Braden, QMHA
• Tracy Braden, LPC
• Melissa Bradfield
• Cecilia Bradford, CRNA
• Johnie Lynn Bradford
• Lori A Bradford, CRM/PSS
• Mary Francis Bradford, QMHA
• Tristan S Bradford

• Dental Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.