William J Braymen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6433 Issued in IA

Practice address

179 Bennett Ave
Council Bluffs, IA 51503-5206

Phone

(712) 322-2231

Fax

(712) 322-6853

NPI assigned

May 19, 2008

Last updated

May 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Practice roles

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.

• Tooth Emporium Inc

  • General Practice Dentistry
  • Council Bluffs, IA
  • NPI 1902914757
  NPD (past) Authorized official

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1083871941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 BENNETT AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035206",
            "telephone_number": "712-322-2231",
            "fax_number": "712-322-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 BENNETT AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035206",
            "telephone_number": "712-322-2231",
            "fax_number": "712-322-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAYMEN",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Bowman
• Maureen A Boyle-Manganaro, MD
• Jay Boyll
• Tim Braimah
• Thomas R. Brandt, M.D.
• Colleen M Brazil, LCSW
• Brigette Maas, LLC
• Broadway Chiropractic Clinic PC
• Broadway Family and Cosmetic Dentistry, P.C.
• Broadway Family and Cosmetic Dentistry, Partnership

• General Practice Dentistry in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.