Terrell Macey Brace, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901010302 Issued in MI

Practice address

2355 East Paris Rd
Grand Rapids, MI 49546-6199

Phone

(616) 942-9595

Fax

(616) 942-4719

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306991229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 EAST PARIS RD",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466199",
            "telephone_number": "616-942-9595",
            "fax_number": "616-942-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 EAST PARIS RD",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466199",
            "telephone_number": "616-942-9595",
            "fax_number": "616-942-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACE",
        "first_name": "TERRELL",
        "middle_name": "MACEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901010302",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy E Bozung, LMSW
• Samuel Lee Braak
• Erika Bracamontes-Woolley, M.D.
• Courtney Braccio
• Amy Brace, LMSW
• Trevor Brace
• Haley Anne Bracken
• Jenna Brackett
• Remi Lynn Brackett
• Megan Elizabeth Brackmann, MD

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

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