The Brace Place, Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5309 Issued in FL

Legal business name

THE BRACE PLACE, INC

Practice address

1000 East Ave
Clermont, FL 34711-2534

Phone

(352) 242-1818

Fax

(352) 242-4835

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Barry Martin Rubenstein, D.D.S.NPI 1083720163

Title

President

Phone

(352) 242-1818

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry Martin Rubenstein, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clermont, FL
  • NPI 1083720163
  NPD (past) Authorized official
• Alan M. Wong, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clermont, FL
  • NPI 1558538421
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063528149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15637 GREATER TRL",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118178",
            "telephone_number": "352-242-1818",
            "fax_number": "352-242-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112534",
            "telephone_number": "352-242-1818",
            "fax_number": "352-242-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRACE PLACE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-242-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "5309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edison Tenezaca Quizhpi, MD
• Adolfo Enrique Teran, M.D.
• Ardiana Maloku Teran, CPNP
• Rebecca Lyn Terranova, CF-SLP
• Amar Thakkar, PHARMD
• The Community Health Education and Assistance Program, Inc.
• The Desoto Group, LLC
• The Hyer Solution LLC
• The Lou Burdette Caregiver Fund
• The Masters Educational Foundation, Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in Clermont, FL
• Providers in Clermont, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• 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.