NPIMap

Organization Active NPI

Lawrence Braces, P.C.

Doing business as Super Braces

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lawrence, MA
National Provider Identifier
1922303668
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
20511 Issued in MA
Legal business name
LAWRENCE BRACES, P.C.
Doing business as
Super Braces
Practice address
355 Essex St
Lawrence, MA 01840-1410
Phone
(978) 794-0000
Fax
(508) 306-4333
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Dr. Houssam Alkhoury, DMD
Title
President
Phone
(508) 589-8270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 20511 MA Primary

Addresses

Primary practice location

355 Essex St
Lawrence, MA 01840-1410

Mailing address

355 Essex St
Lawrence, MA 01840-1410
Phone (978) 794-0000

Other names 1

  • Super Braces Doing business as

National Provider Directory

National Provider Directory

Locations

355 Essex St
Lawrence, MA 01840
Phone (978) 794-0000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1922303668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401410",
            "telephone_number": "978-794-0000",
            "fax_number": "508-306-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401410",
            "telephone_number": "978-794-0000",
            "fax_number": "508-306-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE BRACES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "ALKHOURY",
        "authorized_official_first_name": "HOUSSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-589-8270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "20511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.