Braden H. Giswold, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60172172 Issued in WA

Practice address

742 Camano Ave
Langley, WA 98260-9570

Phone

(360) 221-6373

NPI assigned

Sep 8, 2010

Last updated

Sep 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Braden H Giswold DDS PLLC

  dba Saratoga Dental

  • Dentist
  • Langley, WA
  • NPI 1326431479
  NPD (past) Authorized official
• Saratoga Dental

  • Dentist
  • Langley, WA
  • NPI 1821431503
  NPD (past)

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1538476809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 CAMANO AVE",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 CAMANO AVE",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609570",
            "telephone_number": "360-221-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISWOLD",
        "first_name": "BRADEN",
        "middle_name": "H.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60172172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Maari Fladager, LMHC, R-DMT, CMA
• Ilana A Funk, L.AC.
• Tina Furman
• Juliet B. Gersten, M.A., L.M.P.
• Sarri Liza Gilman, LMFT
• Gorman & Associates, LLC (Gorman & Associates)
• Judith E Gorman, MSW
• Corey Hess, LMP
• Ann Marie Holmberg-Spink, DDS
• Susan Houck Strom, LMFT, ATR

• Dentist in Langley, WA
• Providers in Langley, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.