Braasch Dentistry 2

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRAASCH DENTISTRY 2

Doing business as

Mile High Dentistry

Practice address

12200 E Iliff Ave
BLDG C, Ste 104
Aurora, CO 80014

Phone

(303) 745-3182

Fax

(303) 766-0817

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Mark Braasch, DDS

Title

Owner

Phone

(303) 745-3182

Specialties & licenses 1

Addresses

Other names 1

• Mile High Dentistry Doing business as

Locations

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1124681903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 E ILIFF AVE",
            "address_2": "BLDG C, STE 104",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80014",
            "telephone_number": "303-745-3182",
            "fax_number": "303-766-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 E ILIFF AVE",
            "address_2": "BLDG C, STE 104",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80014",
            "telephone_number": "303-745-3182",
            "fax_number": "303-766-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAASCH DENTISTRY 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "BRAASCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-745-3182",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mile High Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Bozas, PSY.D.
• Senia Marinova Bozova
• Michael Jason Bozzella, DO
• Thiago Bozzi de Araujo, MD, PHD
• Laura Bozzuto, MD
• Hareklia L Brackett, CNS
• Emily Brackin
• Savannah Brackman, MD
• Jessica Lynn Bradburn, PA-C
• Nicole Anna Braddock, PA-C

• Dental Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.