Individual provider Active NPI

David Allan Braun, DDS

  • General Practice Dentistry
  • East Aurora, NY
National Provider Identifier
1376637231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041681 Issued in NY
Practice address
285 Main St
East Aurora, NY 14052-1636
Phone
(716) 652-1020
Fax
(716) 652-7545
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 041681 NY Primary

Addresses

Primary practice location

285 Main St
East Aurora, NY 14052-1636

Mailing address

5576 Oakridge Dr
Hamburg, NY 14075-4068
Phone (716) 648-5651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160822001335 NY Order and Referring Only - DentistPractitioner - Dentist 4587959176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041681NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Niceforo and Braun DDS, P.C. General Practice Past Accepting new patients
Western New York Dental Group, P.C. General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376637231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5576 OAKRIDGE DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754068",
            "telephone_number": "716-648-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521636",
            "telephone_number": "716-652-1020",
            "fax_number": "716-652-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "DAVID",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

Verify at the official NPI Registry.