Braces U Wyoming PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1297 Issued in WY

Legal business name

BRACES U WYOMING PC

Practice address

6900 Yellowtail Rd Ste 100
Cheyenne, WY 82009-6102

Phone

(307) 632-2480

Fax

(307) 635-9218

NPI assigned

Dec 14, 2016

Organization subpart

No

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

Authorized official

Name

Cory Faust Coombs, DMD

Title

President

Phone

(970) 226-5505

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael V. Clark, DDS

  • Pediatric Dentistry
  • Cheyenne, WY
  • NPI 1386778520
  NPD (past)
• Patricia Genho

  • Dentist
  • Cheyenne, WY
  • NPI 1154550028
  NPD (past)

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1669916334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 BOARDWALK DR STE 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255940",
            "telephone_number": "970-226-5505",
            "fax_number": "970-226-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 YELLOWTAIL RD STE 100",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820096102",
            "telephone_number": "307-632-2480",
            "fax_number": "307-635-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACES U WYOMING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "COOMBS",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "FAUST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-226-5505",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WY",
            "license": "1297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy R Bowman
• Rebecca Boyce, RN
• Tyler Boyd, MD, DDS
• Tiffanie Lyne Boyer Gallegos, SKILLS TRAINER
• Barry B Boyer
• Amy Jo Bracken, M.S., CCC-SLP
• Caleb Brackett, MD
• Deborah Susan Brackett, MD
• Braden Partners LP
• Cheyanna Brady

• Dental Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Dental Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.