Braxton M Henderson DMD PA

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

Legal business name

BRAXTON M HENDERSON DMD PA

Doing business as

Southern Office-Based Anesthesia

Practice address

2643 Randleman Rd
Greensboro, NC 27406-5153

Phone

(252) 213-8484

NPI assigned

Apr 21, 2021

Last updated

Apr 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Braxton M Henderson, DMDNPI 1043664188

Title

President

Phone

(901) 493-7721

Specialties & licenses 1

Addresses

Other names 1

• SOUTHERN OFFICE-BASED ANESTHESIA Doing business as

Electronic endpoints 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Braxton Henderson, DMD

  • Dental Anesthesiology
  • Greensboro, NC
  • NPI 1043664188
  NPD (past) Authorized official

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1154902021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MAIN ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653323",
            "telephone_number": "901-493-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 RANDLEMAN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065153",
            "telephone_number": "252-213-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAXTON M HENDERSON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "BRAXTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-493-7721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.sobaanesthesia.com/patients",
            "affiliation": "N",
            "address_1": "2643 Randleman Rd",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274065153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.sobaanesthesia.com/patients",
            "affiliation": "N",
            "address_1": "2643 Randleman Rd",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274065153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.sobaanesthesia.com/patients",
            "affiliation": "N",
            "address_1": "2643 Randleman Rd",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274065153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SOUTHERN OFFICE-BASED ANESTHESIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna F Braswell
• Jazmine Simone Bratcher, LCSWA
• Teresa Sue Bratton, M.D.
• Wrenia Bratts-Brown, SW
• Osma Bravo-Silva
• James Braxton, PHARMD.
• Junius Murphy Braxton, LMBT
• Allison Coville Bray, PHD
• Bryan Keith Bray, PHARM.D.
• Jessica Brayboy

• Dental Anesthesiology in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Dental Anesthesiology in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.