Dr. Mark F Bradshaw, DDS
Dr. Mark F Bradshaw is a Dentist provider (Dentist) practicing in Waconia, MN, registered in the NPPES registry with NPI 1114141595 since 2007. The credential DDS stands for Doctor of Dental Surgery. Practices at Modern Dental Professionals Mn PC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1114141595 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Mark F Bradshaw |
| Credential | DDS |
| Sex | Male |
| Practice address | Waconia, MN, 55387 |
| Phone | 9524422518 |
| Fax | 9524425040 |
| Enumeration date | 2007-04-13 |
| Last updated in NPPES | 2007-07-08 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | D10725 | MN |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Mark Bradshaw, DDS NPI: 1114141595 Taxonomy: 122300000X (Dentist) Address: Waconia, MN, 55387
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679866735 | Modern Dental Professionals Mn PC | Organization | General Practice Dentistry | Waconia, MN |
Verify this record
Cross-check NPI 1114141595 against the authoritative CMS record: view Dr. Mark F Bradshaw on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1114141595 active?
How do I verify Mark Bradshaw's NPI record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.