NPIMap

Organization Active NPI

Braam Pretorius DMD,PC

  • Dental Clinic/Center
  • Quincy, MA
National Provider Identifier
1427389618
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1735820 Issued in MA
Legal business name
BRAAM PRETORIUS DMD,PC
Practice address
10 Granite St
Suite 4C
Quincy, MA 02169-5021
Phone
(617) 328-3636
Fax
(617) 376-0980
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Dr. Abraham M Pretorius
Title
President
Phone
(617) 328-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1735820 MA Primary

Addresses

Primary practice location

10 Granite St
Suite 4C
Quincy, MA 02169-5021

Mailing address

10 Granite St
Suite 4C
Quincy, MA 02169-5021
Phone (617) 328-3636

National Provider Directory

National Provider Directory

Locations

10 Granite St
Ste 4C
Quincy, MA 02169
Phone (617) 328-3636

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1427389618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GRANITE ST",
            "address_2": "SUITE 4C",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695021",
            "telephone_number": "617-328-3636",
            "fax_number": "617-376-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GRANITE ST",
            "address_2": "SUITE 4C",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695021",
            "telephone_number": "617-328-3636",
            "fax_number": "617-376-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAAM PRETORIUS DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "PRETORIUS",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-328-3636",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "1735820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.