Melissa Braswell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901020055 Issued in MI

Practice address

44075 N Gratiot Ave
Clinton Township, MI 48036-1312

Phone

(586) 463-8383

NPI assigned

Jul 17, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Bartle Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Braswell Family Dentistry, PLC

  • Dental Clinic/Center
  • Clinton Township, MI
  • NPI 1558007815
  NPD Authorized official
• Scott T Graham DDS PC

  • General Practice Dentistry
  • Clinton TWP, MI
  • NPI 1134210321
  NPD (past)

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1891925343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44075 N GRATIOT AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361312",
            "telephone_number": "586-463-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44075 N GRATIOT AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361312",
            "telephone_number": "586-463-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASWELL",
        "first_name": "MELISSA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BARTLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janice Gail Brackenbury, PTA
• Eileen Bradychok, MA, LPC, LBSW
• Xhenis Brahimi, DO
• Jon T Braman, CRNA
• Braswell Family Dentistry, PLC
• Angelique Lenore Breeding
• Christopher R Brennan, ACSW LMSW
• Mark J Brennan, MD
• Shelby Brennan Brennan
• Lauren Renee Bresky, LLMSW

• Dentist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.