Taylor Nicole Brauchla, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600523 Issued in MI

Practice address

2545 Capital Ave SW Ste 210
Battle Creek, MI 49015-7103

Phone

(269) 841-5049

NPI assigned

Jun 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Taylor Nicole Shireman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648339200000",
    "number": "1326664103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 DEPOT CIR",
            "city": "GALESBURG",
            "state": "MI",
            "postal_code": "490538302",
            "telephone_number": "317-213-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 CAPITAL AVE SW STE 210",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157103",
            "telephone_number": "269-841-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUCHLA",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "SHIREMAN",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayli Braman
• Krystyna Brandt, PSYD
• Natasha Nicole Brandt
• Shannon Brandt
• Glen Allan Brasseur, DC
• Gabriel Bravo, PA-C
• Mallory Breitkreuz, LLMSW
• Kristin Brennan, LMSW
• Kathi Brenner
• Kevin A Brewton, M.D.

• General Practice Dentistry in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; 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.