Jan Brown, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020417L Issued in PA

Practice address

129 Laurel Dr
Hastings, PA 16646-5510

Phone

(814) 247-9906

Fax

(814) 247-6481

NPI assigned

Sep 12, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Jan Brown Inc

  • General Practice Dentistry
  • Hastings, PA
  • NPI 1922112457
  NPD (past) Authorized official

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1003065285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 LAUREL DR",
            "address_2": "P.O. BOX 683",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166465510",
            "telephone_number": "814-247-9906",
            "fax_number": "814-247-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 LAUREL DR",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166465510",
            "telephone_number": "814-247-9906",
            "fax_number": "814-247-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020417L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 3JB LLC
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• Rebecca Jean Barczak
• Marie Antoinette Carpinello, RN
• Stefanie Cavallo, CRNP
• Jacqueline Deckard, FNP-C
• Dialysis Clinic Inc.
• DLP Conemaugh Miner'S Medical Center LLC

• General Practice Dentistry in Hastings, PA
• Providers in Hastings, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.