Ryan S. Brown, DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D6985 Issued in AZ

Legal business name

RYAN S. BROWN, DDS PLLC

Doing business as

My Kids' Dentist

Practice address

3140 Clearwater Dr
Prescott, AZ 86305-7131

Phone

(928) 445-5959

Fax

(928) 445-5989

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ryan S Brown, DDS

Title

Dr/Owner

Phone

(928) 445-5959

Specialties & licenses 1

Addresses

Other names 1

• My Kids' Dentist Doing business as

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1063788768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 CLEARWATER DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057131",
            "telephone_number": "928-445-5959",
            "fax_number": "928-445-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 CLEARWATER DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057131",
            "telephone_number": "928-445-5959",
            "fax_number": "928-445-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN S. BROWN, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "928-445-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D6985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Kids' Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas William Rusing, M.D.
• Russell L. Palmer Jr, R.T., B.S.
• Liana Russo, L.AC
• Haley Ruth, OTR/L
• Vincent Joseph Ruzzo Jr., PHD
• Dale Ryder, LCSW
• Cheryl A Rynd, LMT, MMP
• S-H Opco Peridot, LLC
• Kathi Sabot, RN
• Andrew Robert Sacks, D.O.

• Dental Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.