Permian Bracein, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PERMIAN BRACEIN, PLLC

Doing business as

Key City Kids Orthodontics

Practice address

3781 Catclaw Dr
Abilene, TX 79606-8203

Phone

(432) 770-6247

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Carson Phillips, DDSNPI 1841683356

Title

Owner

Phone

(432) 770-6247

Specialties & licenses 1

Addresses

Other names 1

• Key City Kids Orthodontics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carson Riley Phillips, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Midland, TX
  • NPI 1841683356
  NPD Authorized official

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1477249290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W WADLEY AVE STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075330",
            "telephone_number": "432-770-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 CATCLAW DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068203",
            "telephone_number": "432-770-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN BRACEIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CARSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-770-6247",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key City Kids Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Lyn Perini
• David Perkins, LCSW
• Rebecca J'Nae Perkins, FNP-C
• Timothy S Perkins, PH.D.
• Permian Basin ER IV
• Jeremie Jesse Perry, M.D.
• Lauren Perry
• Brianna Peters, CGC
• Chloe Petri, RDN, LDN
• PF Development 16, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Abilene, TX
• Providers in Abilene, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.