Active NPI
Braintree Dentistry and Braces PC
- Dentist
- Braintree, MA
National Provider Identifier
1437784378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- BRAINTREE DENTISTRY AND BRACES PC
- Practice address
- 292 Grove St
Braintree, MA 02184-7209 - Phone
- (781) 353-6030
- NPI assigned
- Mar 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Pachello
- Title
- Chief Revenue Officer
- Phone
- (720) 475-6482
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Pediatric Dentistry | 1223P0221X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
292 Grove St
Braintree, MA 02184-7209
Mailing address
5 Mount Royal Ave Ste 300
Marlborough, MA 01752-1900
Phone (508) 872-3072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110078301A | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
292 Grove St
Braintree, MA 02184
Phone (781) 353-6030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1437784378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MOUNT ROYAL AVE STE 300",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017521900",
"telephone_number": "508-872-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 GROVE ST",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021847209",
"telephone_number": "781-353-6030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAINTREE DENTISTRY AND BRACES PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-11",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "PACHELLO",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
"authorized_official_telephone_number": "720-475-6482"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110078301A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.