Active NPI
John C. Braden, D.D.S.
- General Practice Dentistry
- Yoakum, TX
National Provider Identifier
1851370472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14281
- Practice address
- 1104 W Grand Ave
Yoakum, TX 77995-1706 - Phone
- (361) 293-6042
- Fax
- (361) 293-2904
- NPI assigned
- Jan 12, 2006
- Last updated
- Apr 10, 2013
- Sex
- Male
- 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 | 14281 | TX | Primary |
Addresses
Primary practice location
1104 W Grand Ave
Yoakum, TX 77995-1706
Mailing address
1104 W Grand Ave
Yoakum, TX 77995-1706
Phone (361) 293-6042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14281 | Other | TX | DENTAL LICENSE # |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John C Braden DDS PC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Yoakum, TX
- NPI 1073956892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1851370472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 W GRAND AVE",
"city": "YOAKUM",
"state": "TX",
"postal_code": "779951706",
"telephone_number": "361-293-6042",
"fax_number": "361-293-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 W GRAND AVE",
"city": "YOAKUM",
"state": "TX",
"postal_code": "779951706",
"telephone_number": "361-293-6042",
"fax_number": "361-293-2904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADEN",
"first_name": "JOHN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "14281",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE #",
"identifier": "14281",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yoakum, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.