Individual provider Active NPI

William Frances Braden, D.D.S, P.A.

  • Periodontics
  • Houston, TX
National Provider Identifier
1649490483
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12309 Issued in TX
Practice address
17300 El Camino Real
112A
Houston, TX 77058-2715
Phone
(281) 480-1898
Fax
(281) 480-2518
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 12309 TX Primary

Addresses

Primary practice location

17300 El Camino Real
112A
Houston, TX 77058-2715

Mailing address

17300 El Camino Real
112A
Houston, TX 77058-2715
Phone (281) 480-1898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12309TXMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649490483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 EL CAMINO REAL",
            "address_2": "112A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582715",
            "telephone_number": "281-480-1898",
            "fax_number": "281-480-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 EL CAMINO REAL",
            "address_2": "112A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582715",
            "telephone_number": "281-480-1898",
            "fax_number": "281-480-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "WILLIAM",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "D.D.S, P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "12309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.