Braxton Haremza, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

00203786 Issued in CO

Practice address

3003 W 104TH Ave Unit 300
Westminster, CO 80031-7752

Phone

(303) 410-9800

NPI assigned

Jun 10, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Haremza Dentistry PLLC

  • General Practice Dentistry
  • Thornton, CO
  • NPI 1922702505
  NPD Authorized official
• Modern Dental Professionals Co PC

  • General Practice Dentistry
  • Westminster, CO
  • NPI 1053792440
  NPD (past)
• Modern Dental Professionals Az, PC

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1376814012
  NPD (past)

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

{
    "created_epoch": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1073042206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W 104TH AVE UNIT 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W 104TH AVE UNIT 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317752",
            "telephone_number": "303-410-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9230 W Northern Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853051100",
            "country_code": "US",
            "telephone_number": "623-696-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAREMZA",
        "first_name": "BRAXTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-10",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00203786",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James T Hardee, MD
• Howard C Harden, CRNA
• Larry Gladwin Harding Jr., RPH
• Carmen Hardy, PTA
• Nancy Hardy
• Brooke Elizabeth Harig, RD
• Terri C Harlow, LCP
• Harper Lorraine Bolt Harper, M.S., CF-SLP
• Laura Erin Harper, MD
• Logan Selvy Harper, MD

• Dentist in Westminster, CO
• Providers in Westminster, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.