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DR. JUSTINE MARIE LOUISE BRAHAM DDS
NPI 1407421480
Dentist in Mankato, MN

Active since May 23, 2021PECOS Enrolled
309 HOLLY LN, MANKATO, MN 56001(507) 388-2120 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Justine Marie Louise Braham Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTINE MARIE LOUISE BRAHAM DDS (NPI 1407421480) is an individual dentist in Mankato, Minnesota, licensed in Minnesota (D14975) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407421480
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JUSTINE MARIE LOUISE BRAHAMCredential: DDS
Location Address309 HOLLY LNMankato, MN 56001-5422
Mailing Address309 Holly LnMankato, MN 56001-5422 · (507) 388-2120
Phone(507) 388-2120
Sole ProprietorYes
Enumeration DateMay 23, 2021
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1407421480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D14975
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
309 HOLLY LN, Mankato, MN 56001
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justine Marie Louise Braham Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Justine Braham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Open Door Health Center
Same address
Federally Qualified Health Center (FQHC)
309 HOLLY LN
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • 23 clinicians in this Medicare group
NPI 1891740908 (507) 388-2120

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE CHALGREN DDS
Dentist
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (218) 280-9091
MISS CALLIE JO HANSON RDH, MDT
Dental Therapist
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 388-2120
MS. ANN MICHELLE DAUFFENBACH THOMPSON MS LMFT
Marriage & Family Therapist
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 344-5517
DR. MEAGAN KAYE GOVIG DDS
Dentist (General Practice)
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 388-2120
JACOB LEE DVORAK DT
Dental Therapist
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 388-2120
JESSICA HADLER MDT/RDH
Dental Hygienist
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 388-2120
PAYTON LEE PENDERGAST DT
Dental Therapist
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 388-2120
DR. JANE MUGAMBI DNP
Nurse Practitioner (Psychiatric/Mental Health)
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 388-2120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justine Braham's NPI number?

The NPI number for Justine Braham is 1407421480. It was assigned to this individual provider in the NPPES registry on May 23, 2021.

Where is Justine Braham located?

Justine Braham practices at 309 Holly Ln, Mankato, MN 56001. The listed phone number is (507) 388-2120.

What is Justine Braham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Justine Braham enrolled in Medicare?

Yes. Justine Braham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justine Braham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justine Braham reassigns Medicare benefits to Open Door Health Center (Mankato, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justine Braham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Justine Braham was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.