Active NPI
Carl Braun, DDS
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1053527622
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jun 18, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6507
- Practice address
- 11229 W Dodge Rd
Omaha, NE 68154-2617 - Phone
- (402) 593-9911
- Fax
- (402) 593-0595
- NPI assigned
- May 14, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6507 | NE | Primary |
Addresses
Primary practice location
11229 W Dodge Rd
Omaha, NE 68154-2617
Mailing address
11229 W Dodge Rd
Omaha, NE 68154-2617
Phone (402) 593-9911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025205100 | Medicaid | NE |
Other names 1
- Dr. Carl Braun
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6507 | NE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Management Services | Past | Accepting new patients | |
| Dental Management Services | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1053527622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11229 W DODGE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542617",
"telephone_number": "402-593-9911",
"fax_number": "402-593-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11229 W DODGE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542617",
"telephone_number": "402-593-9911",
"fax_number": "402-593-0595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "CARL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "6507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025205100",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARL",
"last_name": "BRAUN",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.