Mbraces LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

011110 Issued in CT

Legal business name

MBRACES LLC

Practice address

5 Center St
Bristol, CT 06010-4916

Phone

(860) 589-3316

NPI assigned

Jun 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Pradipta Mazumder, D.D.S.

Title

Orthodontist

Phone

(571) 594-6007

Specialties & licenses 1

Addresses

Practitioners 1

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

• Micheal Roger Marcotte, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bristol, CT
  • NPI 1033107040
  NPD (past)

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1871974014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CENTER ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104916",
            "telephone_number": "860-589-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTER ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104916",
            "telephone_number": "860-589-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBRACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "MAZUMDER",
        "authorized_official_first_name": "PRADIPTA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "571-594-6007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "011110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer B Mastrocola, MD
• Brenda Matta
• Marisa Alexandra Matthews
• Suzanne Matulis
• Amanda Maynard
• David McAllister, PTA
• Megan McCleary
• Mira McDermott, M.A.
• Vina McDermott, BCBA
• Morgan McDonald, RDN

• Orthodontics and Dentofacial Orthopedics Dentistry in Bristol, CT
• Providers in Bristol, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.