Individual provider Active NPI

Thomas Braun, DDS

  • General Practice Dentistry
  • Groton, CT
National Provider Identifier
1144319245
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7207 Issued in CT
Practice address
1100 Poquonnock Rd
Groton, CT 06340-4209
Phone
(860) 421-9936
NPI assigned
Oct 12, 2006
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17112 MA
General Practice Dentistry 1223G0001X 7207 CT Primary

Addresses

Primary practice location

1100 Poquonnock Rd
Groton, CT 06340-4209

Mailing address

201 Haddam Quarter Rd
Durham, CT 06422-1622
Phone (860) 795-7997

Other practice location 1

20 Muzzey Street
Lexington, MA 02421
Phone (781) 862-2790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20160830001199 CT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7517252570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7207CTMDGeneral Practice Dentistry
17112MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1144319245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HADDAM QUARTER RD",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064221622",
            "telephone_number": "860-795-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404209",
            "telephone_number": "860-421-9936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Muzzey Street",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "02421",
            "country_code": "US",
            "telephone_number": "781-862-2790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "17112",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

Verify at the official NPI Registry.