Brattle Street Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BRATTLE STREET ORTHODONTICS PLLC

Practice address

575 Mount Auburn St Ste 202
Cambridge, MA 02138-4627

Phone

(617) 441-5437

NPI assigned

Jan 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Nina Khedkar, DMD

Title

Manager

Phone

(617) 441-5437

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1598353161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 MOUNT AUBURN ST STE 202",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384627",
            "telephone_number": "617-441-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MOUNT AUBURN ST STE 202",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384627",
            "telephone_number": "617-441-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRATTLE STREET ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "KHEDKAR",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-441-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Bram
• Melissa Palmer Brand, PSYD
• Gijsbertus Brandse, DMD
• Pavan S. Brar
• Lynn Bratman, LICSW
• Michael Braverman, M.D.
• Toni M Braxton
• Kelly Hall Bray, NP
• Carol Christine Brayboy, LICSW
• Heath Logan Braziel

• Orthodontics and Dentofacial Orthopedics Dentistry in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.