Individual provider Active NPI

Janella F. Brown, D,M.D.

  • General Practice Dentistry
  • Columbia, KY
National Provider Identifier
1033273693
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
69101 Issued in KY
Practice address
318 Public Square
Columbia, KY 42728
Phone
(270) 384-3481
Fax
(270) 385-9866
NPI assigned
Dec 20, 2006
Last updated
Mar 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 69101 KY Primary

Addresses

Primary practice location

318 Public Square
Columbia, KY 42728

Mailing address

318 Public Square
Columbia, KY 42728
Phone (270) 384-3481

Other identifiers 1

IdentifierTypeStateIssuer
60069101MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130725000139 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9234370784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69101KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Janella F. Brown ,D.M.D. PSC. General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1033273693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 PUBLIC SQUARE",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "42728",
            "telephone_number": "270-384-3481",
            "fax_number": "270-385-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 PUBLIC SQUARE",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "42728",
            "telephone_number": "270-384-3481",
            "fax_number": "270-385-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JANELLA",
        "middle_name": "F.",
        "credential": "D,M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "69101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60069101",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

Verify at the official NPI Registry.