Active NPI
Laura Day Braswell, D.D.S.
- Periodontics
- Atlanta, GA
National Provider Identifier
1922022615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- GA9901
- Practice address
- 3280 Howell Mill Rd NW Ste 311
Atlanta, GA 30327-4111 - Phone
- (404) 261-9593
- Fax
- (404) 261-9409
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN009901 | GA | |
| Periodontics | 1223P0300X | GA9901 | GA | Primary |
Addresses
Primary practice location
3280 Howell Mill Rd NW Ste 311
Atlanta, GA 30327-4111
Mailing address
3280 Howell Mill Rd NW Ste 331
Atlanta, GA 30327-4109
Phone (404) 261-9593
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | buckheadperio@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150817002765 | GA | Order and Referring Only - Dentist | 7719135714 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN009901 | GA | MD | Periodontist |
| GA9901 | GA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buckhead Periodontics, P.C. | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Atlanta, GA
- NPI 1093990327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1922022615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 HOWELL MILL RD NW STE 331",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303274109",
"telephone_number": "404-261-9593",
"fax_number": "404-261-9409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 HOWELL MILL RD NW STE 311",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303274111",
"telephone_number": "404-261-9593",
"fax_number": "404-261-9409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASWELL",
"first_name": "LAURA",
"middle_name": "DAY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2022-07-01",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "GA",
"license": "DN009901",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "GA",
"license": "GA9901",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "buckheadperio@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Atlanta",
"address_1": "3280 Howell Mill Rd NW Ste 331",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303274109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.