Individual provider Active NPI

Dennis Wayne Braga, D.C.

  • Chiropractor
  • Sherman Oaks, CA
National Provider Identifier
1700098738
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CA19060 Issued in CA
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

Updated by the provider on Apr 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CA19060CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Institute Inc., a Medical Corporation PastSince Jul 1, 2003 Accepting new patients
Amundsen, Inc. Chiropractor PastSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.