Braden M. Stauts DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D-2083-PR Issued in ID

Legal business name

BRADEN M. STAUTS DDS LLC

Practice address

1000 N Curtis Rd
Suite 203
Boise, ID 83706-1337

Phone

(208) 376-0567

NPI assigned

Nov 24, 2008

Last updated

Nov 24, 2008By 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

Braden M Stauts, DDSNPI 1578588364

Title

Owner

Phone

(208) 376-0567

Specialties & licenses 1

Addresses

Other names 1

• Braden Stauts DDS Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Braden M Stauts, DDS

  • Prosthodontics
  • Boise, ID
  • NPI 1578588364
  Authorized official Same address or phone

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1386899987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N CURTIS RD",
            "address_2": "SUITE 203",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061337",
            "telephone_number": "208-376-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N CURTIS RD",
            "address_2": "SUITE 203",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061337",
            "telephone_number": "208-376-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN M. STAUTS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "STAUTS",
        "authorized_official_first_name": "BRADEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-376-0567",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D-2083-PR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braden Stauts DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Danielle Brachman, DPT
• Tess Brackett, DPT
• Aaron W Brackney, D.O.
• Cali J Bradberry, PA-C
• Zachary Braddock, PT, DPT
• Velma Susan Bradford, M.D.
• Dana Bradley, LCPC
• Jenna Marie Bradley, AU.D.
• Jenni L. Bradley, MD
• Joshua Bradley, ATC

• Dental Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.