NPIMap

Organization Active NPI

Braces One LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marion, OH
National Provider Identifier
1760618284
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30-022960 Issued in OH
Legal business name
BRACES ONE LLC
Practice address
1598 Marion Mount Gilead Rd
Marion, OH 43302-5820
Phone
(740) 386-6600
NPI assigned
Jun 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Sang PhamNPI 1124261391
Title
Manager
Phone
(646) 400-3630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 30-022960 OH Primary

Addresses

Primary practice location

1598 Marion Mount Gilead Rd
Marion, OH 43302-5820

Mailing address

1598 Marion Mount Gilead Rd
Marion, OH 43302-5820
Phone (740) 386-6600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1760618284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 MARION MOUNT GILEAD RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025820",
            "telephone_number": "740-386-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 MARION MOUNT GILEAD RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025820",
            "telephone_number": "740-386-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACES ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "SANG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-400-3630"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-022960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.