Active NPI
Craig W Braun, DDS
- Dentist
- Wayne, NE
National Provider Identifier
1801952601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6486
- Practice address
- 206 E 7TH St
Wayne, NE 68787 - Phone
- (402) 375-5522
- Fax
- (402) 833-5533
- NPI assigned
- Dec 28, 2006
- Last updated
- Aug 3, 2023
- Sex
- Male
- 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 | 6486 | NE | Primary |
Addresses
Primary practice location
206 E 7TH St
Wayne, NE 68787
Mailing address
206 E 7TH St
Wayne, NE 68787
Phone (402) 375-5522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025127800 | Medicaid | NE |
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 |
|---|---|---|---|
| 6486 | NE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1801952601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E 7TH ST",
"city": "WAYNE",
"state": "NE",
"postal_code": "68787",
"telephone_number": "402-375-5522",
"fax_number": "402-833-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 E 7TH ST",
"city": "WAYNE",
"state": "NE",
"postal_code": "68787",
"telephone_number": "402-375-5522",
"fax_number": "402-833-5533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "CRAIG",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025127800",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.