KATHLEEN K BRADLEY (NPI# 1306853734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306853734 |
| Entity Type | Individual |
| Full Name | KATHLEEN K BRADLEY |
| Credential | DDS |
| Practice Address |
6443 W 10th St Ste 204 Indianapolis IN 46214-6502 |
| Practice Telephone | 3172479512 |
| Mailing Telephone | 3172479512 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12010981A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1104084433 | Kathleen Patricia Bradley | Licensed Practical Nurse | 1030 Oregon Rd, Cortlandt Manor, NY 10567-1122 | 2008-05-22 |
| 1982789517 | Kathleen Elizabeth Bradley | Obstetrics & Gynecology | 32129 Lindero Cyn Rd #106, Westlake Village, CA 91361 | 2006-10-25 |
| 1073694535 | Kathleen A Bradley | Family Medicine | 239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ 08080 | 2006-10-18 |
| 1851373989 | Kathleen Marie Bradley | Physical Therapist | 1045 Nw Bond St Ste 203, Bend, OR 97701-2064 | 2005-11-15 |
| 1417584665 | Kathleen Bradley | Speech-Language Pathologist | 508 Autumn Springs Ct Ste 1a, Franklin, TN 37067-8274 | 2020-03-26 |
| 1831641166 | Kathleen Bradley | Dietitian, Registered | 1909 214th St Se, #300, Bothell, WA 98021-4412 | 2016-11-03 |
| 1235550310 | Kathleen R Bradley | Physician Assistant | 33 Sewall St, Portland, ME 04102-2603 | 2013-12-17 |
| 1376690776 | Kathleen Louise Bradley | Licensed Psychiatric Technician | 991 Parallel Dr, Lakeport, CA 95453 | 2007-01-05 |
| Street Address |
6443 W 10TH ST STE 204 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46214-6502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982882098 | Tri-state Surgical Services, LLC | Clinic/Center | 8206 Rockville Rd, Suite 132, Indianapolis, IN 46214 | 2008-01-31 |
| 1154508075 | Joe Edward Banks | Family Medicine | 900 N High School Rd, Indianapolis, IN 46214 | 2008-01-22 |
| 1003948365 | Catrissa R Hilson | Social Worker | 6804 Idlewood Trail, #602, Indianapolis, IN 46214 | 2007-03-12 |
| 1811025224 | Help At Home, Inc | Nursing Care | 650 North Girl School Road, Suite C35, Indianapolis, IN 46214 | 2007-02-28 |
| 1942358007 | Daniel Gomes | Dentist | 8235 Country Village Dr, Indianapolis, IN 46214 | 2007-01-08 |
| 1871658070 | Kurt Robert Gossweiler | Dentist | 7901 Crawfordsville Rd, Ste E, Indianapolis, IN 46214 | 2006-12-27 |
| 1649380452 | Rockville Road Dentistry | Dentist | 6355 Rockville Road, Indianapolis, IN 46214 | 2006-08-30 |
| 1326035718 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 3017 Valley Farms Rd, Indianapolis, IN 46214 | 2005-09-30 |
| 1104341403 | Jacob Ready | Pharmacist | 7235 W 10th St, Indianapolis, IN 46214 | 2017-08-08 |
| 1821397779 | Avon Physical Medicine Inc | Physical Medicine & Rehabilitation | 8258 Rockville Rd, Indianapolis, IN 46214 | 2011-03-17 |
| Find all providers in zip 46214 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194245225 | Sara Gholam | Dentist | 1121 W Michigan St Rm 280b, Indianapolis, IN 46202 | 2017-06-20 |
| 1629443544 | Allison C Scully | Dentist | 1121 W Michigan Street Ds307b, Indianapolis, IN 46202-5186 | 2015-12-03 |
| 1346535010 | Scott D. Papineau | Dentist | 7725 S Emerson Ave, Indianapolis, IN 46237-8654 | 2011-06-10 |
| 1376837070 | Steele Pediatric Dentistry LLC | Dentist | 4509 Northeastern Ave, Indianapolis, IN 46239-1660 | 2011-05-31 |
| 1124151592 | Judith Renee Chin | Dentist | 1121 W Michigan St # Ds220, Indiana University School of Dentistry, Indianapolis, IN 46202-5211 | 2007-03-14 |
| 1437280526 | David Scott Morgan | Dentist | 8802 N Meridian St, Suite 101, Indianapolis, IN 46260-5318 | 2007-03-08 |
| 1700949724 | Sandersweddellpediatric Dentalspecialist | Dentist | 860 East 86th Street, Suite1, Indianapolis, IN 46240-6859 | 2006-12-19 |
| 1952477846 | Annette Tepner Farthing | Dentist | 7725 S Emerson Avenue, Indianapolis, IN 46237-8654 | 2006-11-24 |
| 1881769602 | James A. Weddell Dds,msd,pc | Dentist | 3737 North Meridian, Suite 100, Indianapolis, IN 46208-4357 | 2006-11-21 |
| 1811062664 | Kelli R Lucia | Dentist | 3737 North Meridian Street, Suite 100, Indianapolis, IN 46208-4357 | 2006-11-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46214 |
Please comment or provide details below to improve the information on KATHLEEN K BRADLEY.
| 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.