Individual provider Active NPI

Chad Albert Braun, DDS

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1174713515
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9496 Issued in CO
Practice address
390 University Blvd
Denver, CO 80206-4125
Phone
(303) 333-6016
Fax
(303) 333-0779
NPI assigned
Aug 1, 2007
Last updated
Aug 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9496 CO Primary

Addresses

Primary practice location

390 University Blvd
Denver, CO 80206-4125

Mailing address

390 University Blvd
Denver, CO 80206-4125
Phone (303) 333-6016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9496COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Windermere Dentistry, PLLC CurrentSince Jan 19, 2025 Accepting new patients

Locations

390 University Blvd
Denver, CO 80206
Phone (303) 333-5361

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1174713515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 UNIVERSITY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064125",
            "telephone_number": "303-333-6016",
            "fax_number": "303-333-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 UNIVERSITY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064125",
            "telephone_number": "303-333-6016",
            "fax_number": "303-333-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "CHAD",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.