Active NPI
Donald Melvan Brown, D.D.S.
- Periodontics
- Alameda, CA
National Provider Identifier
1013935097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 21095
- Practice address
- 2238 Santa Clara Ave
Alameda, CA 94501-4463 - Phone
- (510) 522-3545
- Fax
- (510) 522-2291
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 21095 | CA | Primary |
Addresses
Primary practice location
2238 Santa Clara Ave
Alameda, CA 94501-4463
Mailing address
2238 Santa Clara Ave
Alameda, CA 94501-4463
Phone (510) 522-3545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21095 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013935097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2238 SANTA CLARA AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014463",
"telephone_number": "510-522-3545",
"fax_number": "510-522-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2238 SANTA CLARA AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014463",
"telephone_number": "510-522-3545",
"fax_number": "510-522-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DONALD",
"middle_name": "MELVAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "21095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
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.