David Ray Braswell

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

293396 Issued in MS

Practice address

347 Tatum Ave
Grenada, MS 38901-4632

Phone

(662) 226-1681

Fax

(662) 226-1601

NPI assigned

Sep 26, 2006

Last updated

Aug 14, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• David R Braswell DMD PA

  • Dental Clinic/Center
  • Grenada, MS
  • NPI 1467135913
  NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1154422590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 TATUM AVE",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014632",
            "telephone_number": "662-226-1681",
            "fax_number": "662-226-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 TATUM AVE",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014632",
            "telephone_number": "662-226-1681",
            "fax_number": "662-226-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASWELL",
        "first_name": "DAVID",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "293396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Bishop, RNC
• Raven Celeste Boatman, PTA
• Sidney Bondurant, MD
• Bonner's Pharmacy
• Karen Ewing Boxx, PHARMACIST
• Thomas Kevin Braswell, MD
• Brister Brothers Pharmacy DME
• Brister Brothers, Inc (H & W Compounding)
• Nell Catherine Brock, FNP,C
• Cynthia Lynn Burchfield, FNP-C

• General Practice Dentistry in Grenada, MS
• Providers in Grenada, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.