Organization Active NPI

Laura Bracken DDS LLC

  • General Practice Dentistry
  • Columbus, IN
National Provider Identifier
1255221545
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAURA BRACKEN DDS LLC
Doing business as
Columbus Family Dental Center
Practice address
2526 Central Ave
Columbus, IN 47201-3121
Phone
(812) 373-9912
Fax
(812) 373-9920
NPI assigned
Jul 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Jerry M Bracken
Title
Office Manager
Phone
(812) 373-9912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2526 Central Ave
Columbus, IN 47201-3121

Mailing address

2526 Central Ave
Columbus, IN 47201-3121
Phone (812) 373-9912

Other names 1

  • Columbus Family Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

2526 Central Ave
Columbus, IN 47201
Phone (812) 373-9912

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1255221545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 CENTRAL AVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013121",
            "telephone_number": "812-373-9912",
            "fax_number": "812-373-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 CENTRAL AVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013121",
            "telephone_number": "812-373-9912",
            "fax_number": "812-373-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA BRACKEN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "BRACKEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-373-9912"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.