Organization Active NPI

Stephen D. Brown DDS P.C.

  • General Practice Dentistry
  • Cadillac, MI
National Provider Identifier
1043321490
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11423 Issued in MI
Legal business name
STEPHEN D. BROWN DDS P.C.
Practice address
530 Cobb St
Cadillac, MI 49601-2578
Phone
(231) 775-8812
Fax
(231) 775-6193
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Stephen D. Brown, DDSNPI 1619152063
Title
Dentist
Phone
(231) 775-8812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11423 MI Primary

Addresses

Primary practice location

530 Cobb St
Cadillac, MI 49601-2578

Mailing address

530 Cobb St
Cadillac, MI 49601-2578
Phone (231) 775-8812

Other identifiers 1

IdentifierTypeStateIssuer
4041496MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1043321490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012578",
            "telephone_number": "231-775-8812",
            "fax_number": "231-775-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012578",
            "telephone_number": "231-775-8812",
            "fax_number": "231-775-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D. BROWN DDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "231-775-8812",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4041496",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.