Active NPI
Christopher R Brown, D.M.D.
- General Practice Dentistry
- Knoxville, TN
National Provider Identifier
1013906379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- TN7210
- Practice address
- 301 W Young High Pike
Knoxville, TN 37920-3053 - Phone
- (865) 573-2992
- NPI assigned
- Oct 19, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | TN7210 | TN | Primary |
Addresses
Primary practice location
301 W Young High Pike
Knoxville, TN 37920-3053
Mailing address
5628 Holston Hills Rd
Knoxville, TN 37914-5181
Phone (865) 546-9106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160301001478 | TN | Order and Referring Only - Dentist | 8729383641 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN7210 | TN | MD | General Practice Dentistry |
Networks
- MS PPO C-SNP
- MS PPO D-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013906379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5628 HOLSTON HILLS RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379145181",
"telephone_number": "865-546-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W YOUNG HIGH PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379203053",
"telephone_number": "865-573-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "TN7210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.