Active NPI
Elise Brace, DMD
- General Practice Dentistry
- Apex, NC
National Provider Identifier
1770012452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10673
- Practice address
- 9776 Holly Springs Rd
Apex, NC 27539-7620 - Phone
- (919) 863-3933
- Fax
- (919) 863-3935
- NPI assigned
- Jun 7, 2017
- Last updated
- Jun 28, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10673 | NC | Primary |
Addresses
Primary practice location
9776 Holly Springs Rd
Apex, NC 27539-7620
Mailing address
5221 W Oaks Dr
Fuquay Varina, NC 27526-9472
Phone (910) 512-7685
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 |
|---|---|---|---|
| 10673 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elise Brace, DMD, PA | General Practice | Current | Accepting new patients |
| Connie Feng, DDS, PLLC | Past | Accepting new patients |
Locations
9776 Holly Springs Rd
Apex, NC 27539
Phone (919) 863-3933
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1770012452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5221 W OAKS DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275269472",
"telephone_number": "910-512-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9776 HOLLY SPRINGS RD",
"city": "APEX",
"state": "NC",
"postal_code": "275397620",
"telephone_number": "919-863-3933",
"fax_number": "919-863-3935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACE",
"first_name": "ELISE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.