R. B. Braidfoot DMD PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

23666 Issued in TX

Legal business name

R. B. BRAIDFOOT DMD PLLC

Practice address

7777 Forest LN
C-626
Dallas, TX 75230-2571

Phone

(672) 566-6383

Fax

(972) 566-3847

NPI assigned

Dec 12, 2013

Last updated

Dec 12, 2013By 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. Raymond Blake Braidfoot, DMD

Title

Pediatric Dentist, Owne/Operator

Phone

(972) 566-6383

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1336570654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "C-626",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "672-566-6383",
            "fax_number": "972-566-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "C-626",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "672-566-6383",
            "fax_number": "972-566-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. B. BRAIDFOOT DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "BRAIDFOOT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST, OWNE/OPERATOR",
        "authorized_official_telephone_number": "972-566-6383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.