Cape Cod Braces LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN21842 Issued in MA

Legal business name

CAPE COD BRACES LLC

Practice address

429 South St
Hyannis, MA 02601-5430

Phone

(508) 771-1415

NPI assigned

Aug 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Peter T Phan, D.M.D

Title

Owner

Phone

(508) 771-1415

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• M John Pautienis, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hyannis, MA
  • NPI 1366583734
  NPD (past)

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1902215932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 SOUTH ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015430",
            "telephone_number": "508-771-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 SOUTH ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015430",
            "telephone_number": "508-771-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE COD BRACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-771-1415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN21842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cape Cod Anesthesia Associates
• Cape Cod Anesthesia Associates Inc
• Cape Cod Anesthesia Associates, Inc.
• Cape Cod Angels Home Care Inc
• Cape Cod Arthritis and Rheumatic Disease, Inc.
• Cape Cod Child Development Program, Inc.
• Cape Cod Dentistry LLC
• Cape Cod Dermatopathology
• Cape Cod Ear Nose and Throat Specialists Head and Neck Surgery PC
• Cape Cod Emergency Associates LLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.