Martha J Braid, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019-025903 Issued in IL

Practice address

2801 Civic Circle Blvd Ste 7
Marion, IL 62959-5276

Phone

(618) 998-9868

Fax

(618) 998-9870

NPI assigned

Jan 19, 2006

Last updated

Jul 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 26, 2017 through Feb 26, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Martha Jo Braid DMD LLC

  dba Dental Care for Kids

  • Pediatric Dentistry
  • Marion, IL
  • NPI 1669621140
  NPD

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1609856251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CIVIC CIRCLE BLVD STE 7",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595276",
            "telephone_number": "618-998-9868",
            "fax_number": "618-998-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CIVIC CIRCLE BLVD STE 7",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595276",
            "telephone_number": "618-998-9868",
            "fax_number": "618-998-9870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 US Highway 51 Byp W",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380241935",
            "country_code": "US",
            "telephone_number": "731-286-1271",
            "fax_number": "731-286-8034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAID",
        "first_name": "MARTHA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "008287",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019-025903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rianna Boyd
• Stephanie Dawn Brace, RN
• Brad McMillin, Inc (Beltone Hearing Aid Service)
• Michael Douglas Bradley, D.C.
• Tyson Bradley, PTA
• Amanda Brandon, RN
• Emma Braning, BA
• Amber K Brayfield, PTA
• John S Brayfield
• Barbara Jeanne Bridges, LCSW

• Pediatric Dentistry in Marion, IL
• Providers in Marion, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.