Jaymie Ann Braden, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5913-015 Issued in WI

Practice address

209 Commerce CT
Elkhorn, WI 53121-4371

Phone

(262) 723-2900

Fax

(262) 723-6360

NPI assigned

Aug 5, 2007

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Dental Arts, S.C.

  • General Practice Dentistry
  • Elkhorn, WI
  • NPI 1972707297

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Ms. Jaymie Ann Pilcher Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 6, 2008.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1194916486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 COMMERCE CT",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214371",
            "telephone_number": "262-723-2900",
            "fax_number": "262-723-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 COMMERCE CT",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214371",
            "telephone_number": "262-723-2900",
            "fax_number": "262-723-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "JAYMIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5913-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "391449280018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYMIE",
            "last_name": "PILCHER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Ann Bilskey, RN
• Chetney Marie Blaszczyk, RDN,CD
• Katelyn Blatter, MSW, LCSW, CSAC
• James E. Bodoh, CRNA
• Desiree Amber Bonngard, MS (PC-IT)
• Christopher Bragagnolo, MD
• Mary Brauer, PT
• Kelly L Brazer, CCC-SLP
• Mary Breese
• Karen Breit, F.N.P.

• All providers in Elkhorn, WI
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.