DR. BRADY NIELSEN D.D.S.
NPI 1881971422
Dentist in Los Angeles, CA

Active since November 10, 2011Opted out of Medicare · through Sep 8, 2027
1200 N STATE ST, LOS ANGELES, CA 90033(323) 226-2622 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brady Nielsen D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRADY NIELSEN D.D.S. (NPI 1881971422) is an individual dentist in Los Angeles, California, licensed in California (60907) and active in the NPI registry since November 2011. He has opted out of Medicare through September 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1881971422
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRADY NIELSENCredential: D.D.S.
Location Address1200 N STATE STLos Angeles, CA 90033-1029
Mailing Address1200 N State StLos Angeles, CA 90033-1029 · (323) 226-2622
Sole ProprietorNo
Enumeration DateNovember 10, 2011
NPI 1881971422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 60907
Definition
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.
1200 N STATE ST, Los Angeles, CA 90033

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Brady Nielsen D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 8, 2015 through September 8, 2027.

Opt-Out Effective DateSeptember 8, 2015
Opt-Out In Effect ThroughSeptember 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1200 N STATE ST
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, #14-901
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033
Respiratory Therapist, Certified (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brady Nielsen's NPI number?

The NPI number for Brady Nielsen is 1881971422. It was assigned to this individual provider in the NPPES registry on November 10, 2011.

Where is Brady Nielsen located?

Brady Nielsen practices at 1200 N State St, Los Angeles, CA 90033. The listed phone number is (323) 226-2622.

What is Brady Nielsen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brady Nielsen enrolled in Medicare?

No. Brady Nielsen has opted out of Medicare through September 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brady Nielsen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Brady Nielsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brady Nielsen was last updated on November 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.