DRS. BRADSHAW AND HATHAWAY (NPI# 1790881233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790881233 |
| Entity Type | Organization |
| Organization Name | DRS. BRADSHAW AND HATHAWAY |
| Practice Address |
300 W Watauga Ave Johnson City TN 37604-5549 |
| Practice Telephone | 4239291126 |
| Mailing Telephone | 4239291126 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN WILLIAM BRADSHAW (ORTHODONTIST) |
| Authorized Official Telephone | 4239291126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2005 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DORAL DENTAL/TNCARE | 16639 | 01 |
| TN | DORAL DENTAL/TNCARE | 7282 | 01 |
| Street Address |
300 W WATAUGA AVE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-5549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730161167 | Rebecca Lou Nunley | Dentist | 300 W Watauga Ave, Suite 4, Johnson City, TN 37604-5549 | 2005-11-21 |
| 1467868471 | Affordable Extractions | Dentist | 300 W Watauga Ave, Suite 1, Johnson City, TN 37604-5549 | 2014-07-10 |
| 1790798718 | John Lusk Hathaway | Dentist | 300 W Watauga Ave, Johnson City, TN 37604-5549 | 2006-08-14 |
| 1861405821 | Daniel W Bradshaw | Dentist | 300 W Watauga Ave, Johnson City, TN 37604-5549 | 2006-08-14 |
| 1467417089 | Thomas B Mcginnis | Urology | 300 W Watauga Ave, Johnson City, TN 37604-5549 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619595618 | Allison Jerri Williams | Dentist | 801 Sunset Dr # E5, Johnson City, TN 37604-3033 | 2020-07-07 |
| 1316334071 | John Marshall Jewett | Dentist | 2333 Knob Creek Rd Ste 10, Johnson City, TN 37604 | 2015-04-21 |
| 1568884393 | Walter Harber | Dentist | 111 Ridgemont Rd, Johnson City, TN 37601-3939 | 2014-01-14 |
| 1295812782 | Hatala Orthodontics PC | Dentist | 165 Riversidedrive, Johnson City, NY 13790 | 2006-11-01 |
| 1669559159 | Mark P Hatala | Dentist | 165 Riverside Drive, Johnson City, NY 13790 | 2006-11-01 |
| 1487764049 | Orthodontic Associates, Plc | Dentist | 801 Sunset Dr Bldg E # 5, Johnson City, TN 37604-3033 | 2006-08-30 |
| 1235142282 | John W Bradshaw | Dentist | 189 Corporate Dr Ste 30, Johnson City, TN 37604-2386 | 2006-08-14 |
| 1497318471 | John Marshall Jewett Dmd Pllc | Dentist | 2333 Knob Creek Rd Ste 10, Johnson City, TN 37604-2007 | 2019-04-16 |
| 1497085435 | Daniel Mcclaskey Auter | Dentist | 508 Princeton Rd, Suite 305, Johnson City, TN 37601-2060 | 2010-01-13 |
| 1487782652 | Leighton W Wood Dds, M.s., PC | Dentist | 2333 Knob Creek Rd, Ste 10, Johnson City, TN 37604-2007 | 2007-03-01 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on DRS. BRADSHAW AND HATHAWAY.
| 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.