BRAD JUDY, DDS, PLLC (NPI# 1841590015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841590015 |
| Entity Type | Organization |
| Organization Name | BRAD JUDY, DDS, PLLC |
| Practice Address |
3236 78th Ave Se Mercer Island WA 98040 |
| Practice Telephone | 2062325866 |
| Mailing Telephone | 2062325866 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |
| Authorized Official Name | BRAD JUDY (MEMBER) |
| Authorized Official Telephone | 2066123282 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 60067325 | WA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BRAD JUDY, DDS, PLLC | 3236 78th Ave Se, Ste 106, Mercer Island, WA 98040-3500 |
| Street Address |
3236 78TH AVE SE |
| City | MERCER ISLAND |
| State | WA |
| Zip Code | 98040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681369 | James C Martin | Internal Medicine | 3236 78th Ave Se, Suite 200, Mercer Island, WA 98040-3500 | 2005-09-30 |
| 1679015473 | Deshawn Edward Bowen-aitkens | Chiropractor | 3236 78th Ave Se, #100, Mercer Island, WA 98040-3500 | 2016-11-09 |
| 1487824215 | Kendra Grace Gil | Internal Medicine | 3236 78th Ave Se, Mercer Island, WA 98040-3500 | 2008-03-07 |
| 1356524060 | Mak Sami Abulhosn | Podiatrist | 3236 78th Ave Se, Suite 201, Mercer Island, WA 98040-3500 | 2007-12-17 |
| 1871712950 | Lee Liu Huang | Acupuncturist | 3236 78th Ave Se, #100, Mercer Island, WA 98040-3500 | 2007-04-25 |
| 1972655397 | Dr Jeffrey Parton Dc Ps | Chiropractor | 3236 78th Ave Se, Mercer Island, WA 98040-3500 | 2007-01-17 |
| 1689740599 | Jennifer Strelow | Dentist | 3236 78th Ave Se, Suite 104, Mercer Island, WA 98040 | 2006-11-24 |
| 1639249873 | Jeffrey S Parton | Chiropractor | 3236 78th Ave Se, Mercer Island, WA 98040-3500 | 2006-11-08 |
| 1558447276 | Julie Myers Thomas | Internal Medicine | 3236 78th Ave Se, Ste 200, Mercer Island, WA 98040-3500 | 2006-10-27 |
| 1003927245 | John C Lind Dds | Dentist | 3236 78th Ave Se, Suite 106, Mercer Island, WA 98040 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1881237048 | Lisa Catherine Stewart | Social Worker | Mental Health & Addiction Services, 401 Broadway, Seattle, WA 98040 | 2019-10-21 |
| 1023520665 | Aca Wa Group Corp | Massage Therapist | 7605 Se 27th St, Suite 103, Mercer Island, WA 98040 | 2017-11-03 |
| 1699211995 | Wei Fan | Acupuncturist | 7605 Se 27th Street, Suite 103, Mercer Island, WA 98040 | 2017-01-10 |
| 1346691953 | James M Blue | Neurological Surgery | 4882 Forest Ave S.e., Mercer Island, WA 98040 | 2016-06-24 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1780072900 | The Emily Program PC | Psychiatric Residential Treatment Facility | 7275 N. Mercer Way, Mercer Island, WA 98040 | 2014-12-23 |
| 1609115641 | Richard Daifuku | Specialist | 9270 Se 36th Pl, Mercer Island, WA 98040 | 2013-02-12 |
| 1689937286 | Karin L. Miller | Social Worker | 9725 Se. 36 St. #301, Mercer Island, WA 98040 | 2012-06-19 |
| 1689947608 | Hector Cantu Aldape | Pathology | 7649 West Mercer Way, Mercer Island, WA 98040 | 2012-02-22 |
| Find all providers in zip 98040 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459035 | Priyanka Hosapura Sheshagiri | Dentist | 7650 Se 27th St Unit 642, Mercer Island, WA 98040-3070 | 2019-07-17 |
| 1447337951 | Robert Leroy Doty | Dentist | 2825 80th Avenue Se, Suite 4, Mercer Island, WA 98040-2993 | 2006-11-01 |
| 1033207253 | Bryan Gene Maruhashi | Dentist | 7513 Se 27th St, Ste C, Mercer Island, WA 98040-2845 | 2006-10-11 |
| 1235743501 | Clara Alexandra Felker | Dentist | 7419 Se 24th St, Mercer Island, WA 98040-2326 | 2020-09-03 |
| 1740807577 | Ryan Tam | Dentist | 2825 80th Ave Se Ste 3, Mercer Island, WA 98040-2977 | 2020-06-27 |
| 1386842722 | Nadeem Merchant Dmd, Ps | Dentist | 3003 Island Crest Way, Suite 2, Mercer Island, WA 98040-2998 | 2007-07-06 |
| 1306052170 | Lewis and Gibson, LLP | Dentist | 7419 Se 24th St, Mercer Island, WA 98040-2326 | 2007-05-16 |
| 1114142841 | Nadeem Merchant | Dentist | 3003 Island Crest Way, Suite #2, Mercer Island, WA 98040-2998 | 2007-04-16 |
| 1053423632 | Kamaran Shemshaki | Dentist | 2955 80th Ave Se, Suite #203, Mercer Island, WA 98040 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991319 | Ashley Lynn Wildhaber | Dentist | 111 Tumwater Blvd Se # 301, Tumwater, WA 98501-6400 | 2020-10-26 |
| 1124627757 | Eric Kun Kim | Dentist | 7160 Burden Blvd Ste 102, Pasco, WA 99301-4469 | 2020-10-24 |
| 1174121966 | Brandon C Hahn | Dentist | 6574 153rd Ave Se, Bellevue, WA 98006-5424 | 2020-10-13 |
| 1144828237 | William Garcia | Dentist | 1214 Sw Scotton Way Ste 101, Battle Ground, WA 98604-2715 | 2020-10-12 |
| 1568069391 | Neha Agarwal | Dentist | 13605 Ne 10th Pl # 8-101, Bellevue, WA 98005-2743 | 2020-10-05 |
| 1134736028 | Ibraheem M Al Naqshabandy | Dentist | 4747 30th Ave Ne Apt K174, Seattle, WA 98105-4032 | 2020-09-25 |
| 1598371866 | Maryam Tabarestani | Dentist | 24325 7th Pl W, Bothell, WA 98021-8525 | 2020-09-21 |
| 1922614890 | Vicky Herrera | Dentist | 10720 5th Ave Ne Apt 605, Seattle, WA 98125-7258 | 2020-09-16 |
| 1407461825 | Jangsu Kiyoshi | Dentist | 3006 Mahogany St Ne, Lacey, WA 98516-5589 | 2020-09-11 |
| 1407461270 | Crisafulli Dental | Dentist | 18920 Bothell Way Ne Ste 200, Bothell, WA 98011-1981 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | MERCER ISLAND |
| Zip Code | 98040 |
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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.