Campus Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CAMPUS ORTHODONTICS PLLC

Practice address

5294 Park Ave
Bridgeport, CT 06604-1018

Phone

(203) 212-3200

Fax

(203) 372-0280

NPI assigned

Feb 2, 2021

Last updated

Aug 5, 2024By 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. Thomas F Braun, DMD

Title

Owner

Phone

(203) 685-8217

Specialties & licenses 1

Addresses

Other names 1

• Kristal Smiles PLLC Former legal business name

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.

• Max Braun, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairfield, CT
  • NPI 1114589017
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1225629108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5294 PARK AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066041018",
            "telephone_number": "203-212-3200",
            "fax_number": "203-372-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5294 PARK AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066041018",
            "telephone_number": "203-212-3200",
            "fax_number": "203-372-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUS ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2024-08-05",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-685-8217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristal Smiles PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mary Beth Campbell, NP-C
• Vanessa Campbell, LMHC, NCC, CTP
• Velma Campbell, PMHNP
• Carissa Jasmin Campos
• Natosha Labelle Campos, LPC, LMSW
• Jeimy Bueno Canosa, P.T.
• Melissa Canty, OTR/L, CLT
• Susan Renee Capasso, MS EDD, CGC
• Scott J. Capozza
• Katherine Capozzi, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.