JILLIAN C. BRADY, DDS, LLC (NPI# 1033746136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033746136 |
| Entity Type | Organization |
| Organization Name | JILLIAN C. BRADY, DDS, LLC |
| Practice Address |
5150 E Stop 11 Rd Ste 11 Indianapolis IN 46237-8629 |
| Practice Telephone | 3178896000 |
| Mailing Telephone | 3178896000 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | DR. JILLIAN CHRISTINE BRADY (DENTIST) |
| Authorized Official Telephone | 3178896000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
5150 E STOP 11 RD STE 11 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-8629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720147 | Ms Vibbert Dds PC | Clinic/Center | 7301 Georgetown Rd Ste 113, Indianapolis, IN 46268-4157 | 2020-11-05 |
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1356813935 | Red Hat Neighborhood Dentist | Clinic/Center | 5719 Lawton Loop East Dr Ste 2, Indianapolis, IN 46216-2322 | 2018-12-20 |
| 1336618503 | Kim & Au-yeung Dentistry, P.C. | Clinic/Center | 8354 Little Eagle Ct Ste A, Indianapolis, IN 46234-3822 | 2018-11-17 |
| 1033686142 | Red Bird Dental LLC | Clinic/Center | 839 S Delaware St, Indianapolis, IN 46225-1782 | 2018-10-26 |
| 1497239297 | Dennis J. Heritier Dds P.C. | Clinic/Center | 6284 Rucker Rd Ste G, Indianapolis, IN 46220-4851 | 2018-09-18 |
| 1689165672 | Xu Family Dental, LLC | Clinic/Center | 828 Fort Wayne Ave, Indianapolis, IN 46204-1309 | 2018-05-24 |
| 1205332327 | Monroe County Family Dental and Implant Center | Clinic/Center | 401 N Senate Ave Unit 648, Indianapolis, IN 46204-1259 | 2018-04-05 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1013427350 | Thoman Dental LLC | Clinic/Center | 4950 E Stop 11 Rd Ste A, Indianapolis, IN 46237-9104 | 2017-09-30 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on JILLIAN C. BRADY, DDS, LLC.
| 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.