Braisdanallc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61092 Issued in KS

Legal business name

BRAISDANALLC

Doing business as

Behnaz Raisdana, DDS

Practice address

13605 W Maple St
Suite 107 & 109
Wichita, KS 67235-8759

Phone

(316) 304-1582

NPI assigned

Jan 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Behnaz Raisdana, D.D.S.

Title

Owner Dentist

Phone

(316) 304-1582

Specialties & licenses 1

Addresses

Other names 1

• Behnaz Raisdana, DDS Doing business as

Locations

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1992195234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9509 E SHANNON WAY CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672064042",
            "telephone_number": "316-304-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 W MAPLE ST",
            "address_2": "SUITE 107 & 109",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358759",
            "telephone_number": "316-304-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAISDANALLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "RAISDANA",
        "authorized_official_first_name": "BEHNAZ",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "316-304-1582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behnaz Raisdana, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dee Ann Bragg, MD
• Robert Loyd Bragg, LMFT
• Olubumi Braimah, MD
• Brain and Body Psychotherapy LLC
• Brainwaves & Beyond LLC
• David Brake, MD
• Mona B. Brake, M.D.
• Estanya Yvetta Braley
• James Aaron Brambach, BSN, RN, MEDSURG-BC
• James Preston Brammer, D.D.S.

• General Practice Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.