Marla Braje Shortman

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

2525 S Cleveland Ave
Saint Joseph, MI 49085-2649

Phone

(269) 429-1587

NPI assigned

Feb 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marla Braje Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1982103727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852649",
            "telephone_number": "269-429-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852649",
            "telephone_number": "269-429-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTMAN",
        "first_name": "MARLA",
        "middle_name": "BRAJE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLA",
            "last_name": "BRAJE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Birgit Sherwin
• Craig Francis Sherwood, DPM
• Prajna Shetty
• Christopher Karl Shier, MD
• Sunghae Shin, LLPC
• Robin Shuler, R.N., I.B.C.L.C
• Furqan Siddiqi, MD
• Safina Siddiqui, DO
• Yousuf Siddiqui, MD
• Kelcy Sikorski

• Dental Hygienist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.