Organization Active NPI

The Braces Place

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lawrence, MA
National Provider Identifier
1649543554
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
THE BRACES PLACE
Practice address
335 Common St
Lawrence, MA 01840-1262
Phone
(978) 975-1000
NPI assigned
Feb 23, 2012
Last updated
Feb 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Dr. Mouhab Rizkallah
Title
President
Phone
(617) 872-4499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

335 Common St
Lawrence, MA 01840-1262

Mailing address

30 College Ave
Somerville, MA 02144-1914

National Provider Directory

National Provider Directory
Tax ID family
The Braces Place of Lawrence4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

335 Common St
Lawrence, MA 01840
Phone (978) 975-1000

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1649543554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COLLEGE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 COMMON ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401262",
            "telephone_number": "978-975-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRACES PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "RIZKALLAH",
        "authorized_official_first_name": "MOUHAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-872-4499",
        "authorized_official_name_prefix": "Dr."
    },
    "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": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.