Bracedr, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

006865 Issued in CT

Legal business name

BRACEDR, PC

Practice address

2880 Old Dixwell Ave
Hamden, CT 06518-3144

Phone

(203) 281-1022

NPI assigned

Mar 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Kim

Title

President

Phone

(203) 281-1022

Specialties & licenses 1

Addresses

Other names 1

• Michael Kim, DDS Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013037845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 OLD DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 OLD DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183144",
            "telephone_number": "203-281-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACEDR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-281-1022",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "006865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Kim, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Erik Bowens
• Rachel Boyarsky, M.D.
• Boyhen Associates LLC
• Teaka Wheatley Boyhen, LCSW
• Alexa Boytchev
• Nancy Bradstreet, MSW LCSW
• Cynthia Brandl, RN
• Laurel Habink Brandon, APRN
• Diana L Brassell, DPT
• Tamar Ranon Braverman, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Hamden, CT
• Providers in Hamden, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.