Branson Braces LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BRANSON BRACES LLC

Doing business as

Branson Braces

Practice address

168 S. Payne Stewart Dr.
Ste 100
Branson, MO 65616

Phone

(417) 335-4746

NPI assigned

Jul 29, 2013

Last updated

Jul 29, 2013By 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. Mark Dake, DDS, MSDNPI 1447260930

Title

Member

Phone

(417) 256-5100

Specialties & licenses 1

Addresses

Other names 1

• Branson Braces Doing business as

Locations

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.

• Mark L. Dake, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Plains, MO
  • NPI 1447260930
  Authorized official Same address or phone

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1164864336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 S PAYNE STEWART DR",
            "address_2": "STE 100",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "65616",
            "telephone_number": "417-335-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 S. PAYNE STEWART DR.",
            "address_2": "STE 100",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "65616",
            "telephone_number": "417-335-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANSON BRACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "DAKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "417-256-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Branson Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Catherine Boss, CRNA
• Tanya Dian Bowden, R.D.
• Julia Shreder Bowers, RPH
• Rebecca Anne Bowman, LCSW
• Braces of the Ozarks, LLC (Branson Braces)
• Branson Chiropractic Center P.C.
• Branson Clinic, LLC
• Branson Clinic, LLC
• Branson Dialysis, LLC
• Branson Drug LLC (Branson Drug)

• Orthodontics and Dentofacial Orthopedics Dentistry in Branson, MO
• Providers in Branson, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.