1. Home
  2. Directory
  3. California
  4. Rancho Cucamonga
  5. Dentist
  6. NPI Profile

DR. JACLYN BRADLE D.D.S.
NPI 1891055109
Dentist - General Practice in Rancho Cucamonga, CA

Active since May 21, 2012PECOS Enrolled
8639 1/2 BASELINE RD, RANCHO CUCAMONGA, CA 91730(909) 989-4709 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jaclyn Bradle D.d.s. NPPES

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

DR. JACLYN BRADLE D.D.S. (NPI 1891055109) is an individual general practice provider in Rancho Cucamonga, California, licensed in California (61315) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891055109
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACLYN BRADLECredential: D.D.S.
Location Address8639 1/2 BASELINE RDRancho Cucamonga, CA 91730-1111
Mailing Address8639 1/2 Baseline RdRancho Cucamonga, CA 91730-1111 · (909) 989-4709
Phone(909) 989-4709
Sole ProprietorNo
Enumeration DateMay 21, 2012
Last NPPES UpdateJanuary 29, 2015
✔ NPI 1891055109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 61315
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8639 1/2 BASELINE RD, Rancho Cucamonga, CA 91730
Open in Google Maps ↗

Other Names 1

Former Name (1)Jaclyn Marquez

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jaclyn Bradle D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 2

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

DR. MARC SHRYER D.D.S.
Dentist (General Practice)
8639 1/2 BASELINE RD
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 989-4709
JACLYN BRADLE DDS INC.
Dentist (General Practice)
8639 1/2 BASELINE RD
RANCHO CUCAMONGA, CA 91730
San Bernardino County (626) 290-7106

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 Jaclyn Bradle's NPI number?

The NPI number for Jaclyn Bradle is 1891055109. It was assigned to this individual provider in the NPPES registry on May 21, 2012. The provider is also known as Jaclyn Marquez.

Where is Jaclyn Bradle located?

Jaclyn Bradle practices at 8639 1/2 Baseline Rd, Rancho Cucamonga, CA 91730. The listed phone number is (909) 989-4709.

What is Jaclyn Bradle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jaclyn Bradle enrolled in Medicare?

Yes. Jaclyn Bradle is registered in the Medicare PECOS enrollment system.

What insurance does Jaclyn Bradle 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 Jaclyn Bradle 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 Jaclyn Bradle was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.