Braces R US PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

24348 Issued in TX

Legal business name

BRACES R US PC

Practice address

8337 Summer Park Dr
Fort Worth, TX 76123-1991

Phone

(617) 281-7947

NPI assigned

Jul 18, 2012

Last updated

Jul 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gunjan Dhir

Title

Director

Phone

(617) 281-7947

Specialties & licenses 1

Addresses

Tax ID family

Braces R US PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Braces R US PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Nacogdoches, TX
  • NPI 1649515529
  NPD tax ID
• Braces R US PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ennis, TX
  • NPI 1922343805
  NPD tax ID

Locations

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1841545597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 OLD ELKHART RD",
            "address_2": "STE 120",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8337 SUMMER PARK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231991",
            "telephone_number": "617-281-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACES R US PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "DHIR",
        "authorized_official_first_name": "GUNJAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-281-7947"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "24348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley C Boylan
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• Brian Robert Braaksma, MD
• John David Brabner, IDC
• Lashunda Bracey
• Leslie Bracken, RD/LD
• Karen Brackett
• Michael Brackett
• Lindsie Brooke Bradberry

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.