Active NPIIndividual provider

Dr. Elise R Braxmeyer, DMD

Dentist, General Practice in Beaverton, Oregon

NPI Number1043404536
Practice location
15125 SW Beard RD, Beaverton, OR 97007-7477
Fax
503-590-0269
Last updated
January 24, 2019

Elise R Braxmeyer is a Dentist, General Practice based in Beaverton, OR. Elise R Braxmeyer practices in Beaverton, OR and has the professional credentials of DMD. The NPI Number for Elise R Braxmeyer is 1043404536 and holds a License No. D8978 (OR). The current practice location address for Elise R Braxmeyer is 15125 SW Beard RD, Beaverton, OR 97007-7477 and can be reached out via phone at 503-590-4300 and via fax at 503-590-0269.

Provider Profile Details

NPI Number
1043404536
Provider Name
Elise R Braxmeyer
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
15125 SW Beard RD, Beaverton, OR 97007-7477
Phone Number
503-590-4300
Fax Number
503-590-0269
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 28, 2007
Last Update Date
January 24, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
15125 SW Beard RD
Beaverton, OR 97007-7477
State
Oregon
Zip
97007-7477
Phone Number
503-590-4300
Fax Number
503-590-0269
Beaverton, OR 97007Get directions →

Provider Business Mailing Address Details

Address
15125 SW Beard RD
Beaverton, OR 97007-7477
City
Beaverton
State
OR
Zip
97007-7477
Phone Number
503-590-4300
Fax Number
503-590-0269

License Information

License Number (1)
D8978
License State (1)
OR
Taxonomy (1)
Dentist · 122300000X
License Number (2)
D8978
License State (2)
OR
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Elise R Braxmeyer, DMD?

The NPI number of Dr. Elise R Braxmeyer, DMD is 1043404536. It was assigned on August 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Elise R Braxmeyer, DMD?

Dr. Elise R Braxmeyer, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number D8978.

Where does Dr. Elise R Braxmeyer, DMD practice?

The practice location is 15125 SW Beard RD, Beaverton, OR 97007-7477. The office can be reached at 503-590-4300 (phone) or 503-590-0269 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043404536 directly on the NPPES registry website.

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