Active NPI
Dennis Wayne Braga, D.C.
- Chiropractor
- Sherman Oaks, CA
National Provider Identifier
1700098738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CA19060
- Practice address
- 4849 Van Nuys Blvd Ste 217
Sherman Oaks, CA 91403-2128 - Phone
- (818) 990-4100
- Fax
- (818) 990-4199
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CA19060 | CA | Primary |
Addresses
Primary practice location
4849 Van Nuys Blvd Ste 217
Sherman Oaks, CA 91403-2128
Mailing address
4849 Van Nuys Blvd Ste 217
Sherman Oaks, CA 91403-2128
Phone (818) 990-4100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA19060 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Institute Inc., a Medical Corporation | Past | Accepting new patients | |
| Amundsen, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Petaluma, CA
- NPI 1184144552
-
- Orthopaedic Surgery of the Spine Physician
- Sherman Oaks, CA
- NPI 1538218672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1700098738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 VAN NUYS BLVD STE 217",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032128",
"telephone_number": "818-990-4100",
"fax_number": "818-990-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 VAN NUYS BLVD STE 217",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032128",
"telephone_number": "818-990-4100",
"fax_number": "818-990-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGA",
"first_name": "DENNIS",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2012-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "CA19060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.