OrganizationActive
Drs. Bradshaw and Hathaway
NPI 1790881233 · Orthodontics and Dentofacial Orthopedics Dentistry · Johnson City, TN
Provider details
- NPI number
- 1790881233
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- John Bradshaw, Orthodontist(423) 929-1126
- License
- 2005 (TN)
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
300 W Watauga Ave
Johnson City, TN 37604-5549
Phone: (423) 929-1126
Street-level locationGet directions
Mailing address
300 W Watauga Ave
Johnson City, TN 37604-5549
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.