George Calvin Brain, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE00003551 Issued in WA

Practice address

1901 S Union Ave
B-3008
Tacoma, WA 98405-1702

Phone

(253) 572-9777

Fax

(253) 627-6766

NPI assigned

Sep 25, 2007

Last updated

Sep 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• George C. Brain DDS PC

  • Pediatric Dentistry
  • Tacoma, WA
  • NPI 1174617781
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1407043367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "B-3008",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-572-9777",
            "fax_number": "253-627-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "B-3008",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-572-9777",
            "fax_number": "253-627-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAIN",
        "first_name": "GEORGE",
        "middle_name": "CALVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00003551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5031455",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taryn Brady
• Ricky Wayne Bragg Jr., LPN
• Tyea Braggs
• Evan Bragin
• Margaret E. Braile, M.D.
• Shaena Brainard
• Robert Brakke, O.D.
• Claire Bramli, RN
• Teresa Bramson, LPN
• James Brookes Branch, M.D.

• Pediatric Dentistry in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.