Gary D. Brown, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5758 Issued in KY

Practice address

455 Main St
Paintsville, KY 41240-1056

Phone

(606) 789-5525

Fax

(606) 789-2156

NPI assigned

Dec 5, 2006

Last updated

Nov 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1003974536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MAIN ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401056",
            "telephone_number": "606-789-5525",
            "fax_number": "606-789-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 MAIN ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401056",
            "telephone_number": "606-789-5525",
            "fax_number": "606-789-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GARY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5758",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Booth, SLP
• Lynnette Wells Bragg, R.N., C.C.M.
• Broadway Clinic Pharmacy Inc
• Broadway Clinic Pharmacy Inc
• Andrew Brown
• Don Victor Bryson, MD
• Nicole Burchett, APRN, FNP-BC
• Kari Nicole Burt, OTR/L
• Christa Kay Butcher, LCSW
• Stacy Ann Butcher

• General Practice Dentistry in Paintsville, KY
• Providers in Paintsville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.