IndividualActive
Timothy Brady, D.D.S.
NPI 1417099045 · General Practice Dentistry · Newark, NY
Timothy Brady, D.D.S. is a General Practice Dentistry provider in Newark, NY (NPI 1417099045).
Provider details
- NPI number
- 1417099045
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 033560 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Mason St
Newark, NY 14513-1459
Phone: (315) 331-4115
Street-level locationGet directions
Mailing address
Po Box 738
Penfield, NY 14526-0738
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2009-01-13
Frequently asked questions
- What is Timothy Brady's NPI number?
- Timothy Brady's National Provider Identifier (NPI) is 1417099045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Brady's specialty?
- Timothy Brady is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Timothy Brady located?
- Timothy Brady's practice location on file with NPPES is 111 Mason St, Newark, NY 14513-1459.
- What is Timothy Brady's phone number?
- The practice phone number listed in the NPPES registry for Timothy Brady is (315) 331-4115.
- Is Timothy Brady's NPI active?
- Yes — Timothy Brady's NPI (1417099045) is active in the NPPES registry as of the last update on 2009-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.