Active NPI
Juliana Braswell
- Dentist
- Montclair, NJ
National Provider Identifier
1730708561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI03086400
- Practice address
- 177 Gordonhurst Ave
Montclair, NJ 07043-1722 - Phone
- (973) 744-3181
- NPI assigned
- Apr 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI03086400 | NJ | Primary |
Addresses
Primary practice location
177 Gordonhurst Ave
Montclair, NJ 07043-1722
Mailing address
177 Gordonhurst Ave
Montclair, NJ 07043-1722
Phone (973) 744-3181
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03086400 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Ferguson, DDS, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Upper Montclair, NJ
- NPI 1053522821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1730708561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 GORDONHURST AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431722",
"telephone_number": "973-744-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 GORDONHURST AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431722",
"telephone_number": "973-744-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASWELL",
"first_name": "JULIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-12",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI03086400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.