DR. KINGDON KIBBLE BRADY (NPI# 1255393765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255393765 |
| Entity Type | Individual |
| Full Name | DR. KINGDON KIBBLE BRADY |
| Credential | D.D.S. |
| Practice Address |
2627 Redwing Rd Suite 300 Fort Collins CO 80526-6321 |
| Practice Telephone | 9704840250 |
| Practice Fax Number | 9704841522 |
| Mailing Telephone | 9704840250 |
| Mailing Fax Number | 9704841522 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2016-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12010038A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200231810 | 05 |
| Street Address |
2627 REDWING RD SUITE 300 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-6321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992161129 | Craniofacial Pain & Sleep Center, Pllc | Durable Medical Equipment & Medical Supplies | 2627 Redwing Rd, Suite 300, Fort Collins, CO 80526-6321 | 2016-01-04 |
| 1538575014 | Rachel Hargrove | Massage Therapist | 2627 Redwing Rd, Suite 350, Fort Collins, CO 80526-6321 | 2014-07-07 |
| 1033475884 | Sarah Higgins | Counselor | 2627 Redwing Rd, Suite 225, Fort Collins, CO 80526-6321 | 2012-04-05 |
| 1336446475 | Craniofacial Pain and Sleep Center | Durable Medical Equipment & Medical Supplies | 2627 Redwing Rd, Suite 300, Fort Collins, CO 80526-6321 | 2011-02-25 |
| 1497990113 | Mitchell J Mayo | Technician/Technologist | 2627 Redwing Rd, Ste 210, Fort Collins, CO 80526-6321 | 2008-12-09 |
| 1154417921 | Vickie L Bohlender | Durable Medical Equipment & Medical Supplies | 2627 Redwing Rd, Suite 220a, Fort Collins, CO 80526-6321 | 2006-10-05 |
| 1548368194 | Justin W Thole | Chiropractor | 2627 Redwing Rd, Suite 235, Fort Collins, CO 80526-6321 | 2006-09-20 |
| 1922066562 | Richard H Keller | Dentist | 2627 Redwing Rd, Suite 300, Fort Collins, CO 80526-6321 | 2006-05-03 |
| 1598727224 | Nara Schramm | Acupuncturist | 2627 Redwing Rd, Suite 235, Fort Collins, CO 80526-6321 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252773 | Aaron Robert Welch | Dentist | 356 E Harmony Rd Unit 6a, Fort Collins, CO 80525-5960 | 2020-07-21 |
| 1376197046 | My Local Colorado Dental Practice, LLC | Dentist | 3541 E Harmony Rd Ste 130, Fort Collins, CO 80528-8816 | 2019-07-30 |
| 1306405212 | Ashley May Zimm | Dentist | 3838 S Timberline Rd, Fort Collins, CO 80525-3415 | 2019-06-13 |
| 1578049839 | Scott Mcnairy Dds Pllc | Dentist | 1136 E Stuart St Ste 3140, Fort Collins, CO 80525-1196 | 2018-07-19 |
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1356722748 | Modern Dental Professionals Co PC | Dentist | 3531 S College Ave Unit 110, Fort Collins, CO 80525-2642 | 2015-06-11 |
| 1689092835 | Perfect Teeth - North College P.C. | Dentist | 1856 N. College Avenue, Ste 110, Fort Collins, CO 80524 | 2014-04-04 |
| 1780011221 | Spring Creek Dental Pllc | Dentist | 2001 South Shields Street, Bldg. C-1, Fort Collins, CO 80526 | 2013-09-30 |
| 1558622027 | Robert E Gartland | Dentist | 202 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2012-05-31 |
| 1619259124 | Brenna Behrens | Dentist | 1102 E Lincoln Ave Unit B, Fort Collins, CO 80524-2521 | 2011-09-12 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.