Charles Richard Braga, D.M.D., M.M.SC.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3018 Issued in NH

Practice address

211 Bay Rd
Newmarket, NH 03857-1740

Phone

(603) 661-6368

Fax

(801) 729-1621

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013945476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BAY RD",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571740",
            "telephone_number": "603-661-6368",
            "fax_number": "801-729-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BAY RD",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571740",
            "telephone_number": "603-661-6368",
            "fax_number": "801-729-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGA",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.M.SC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "18388",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "3018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Backus, PHARM D
• Britta Barlett, MA
• Christopher Batt, D.D.S.
• Kristin Leigh Bosworth, M.S., CCC-SLP
• Kaye Gravelie Bowles, D.MIN
• Anna Brand, APRN
• Mary F Braun, MD
• Casey Brighton, APRN
• Erin M Campbell, RD
• Michael Card, D.C

• Periodontics in Newmarket, NH
• Providers in Newmarket, NH by specialty
• Periodontics in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.