Mark A Braasch, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DTP840 Issued in FL

Practice address

515 Hideaway Cir
Santa Rosa Beach, FL 32459-6774

Phone

(402) 578-8188

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1366431462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HIDEAWAY CIR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596774",
            "telephone_number": "402-578-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HIDEAWAY CIR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596774",
            "telephone_number": "402-578-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAASCH",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10637",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6475",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DTP840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Estes Block, ARNP
• Kathleen Boivin, LMT
• Stephen Patrick Bolduc, M.D.
• Laurie A. Borick
• Taylor Layne Boyce King, DDS
• Rhea Bradford, RN
• April Nicole Bradley, L.AC., AP
• Laura Ann Bruck-Hillas, APRN
• Susanna O Buchholz, MD
• Jared M Bump, DO

• Dentist in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Dentist in Florida

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