Braces of Connecticut, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BRACES OF CONNECTICUT, PC

Practice address

415 Broad St
Meriden, CT 06450-5839

Phone

(203) 440-9449

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Jordan Lissauer, DMD

Title

President

Phone

(203) 440-9449

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1245671551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064505839",
            "telephone_number": "203-440-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064505839",
            "telephone_number": "203-440-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACES OF CONNECTICUT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "LISSAUER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-440-9449",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret A Borelli, LCSW
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• Trenyce Bowen
• Catherine Taylor Boyle, PHYSICIAN ASSISTANT
• Kimberly Noelle Bradbury, OTR/L
• Craig Owen Brancato, PA-C
• Lisa Brayton, BCBA
• Katherine Breininger, LCSW
• Elissa Brenner

• Orthodontics and Dentofacial Orthopedics Dentistry in Meriden, CT
• Providers in Meriden, 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 Jul 15, 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.