Jacqueline Alexandria Brown, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401415679 Issued in VA

Practice address

135 Conston Ave
Christiansburg, VA 24073-1151

Phone

(540) 251-0707

NPI assigned

Jun 8, 2017

Last updated

Jun 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1063941375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 COACHMAN DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240126807",
            "telephone_number": "423-991-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CONSTON AVE",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731151",
            "telephone_number": "540-251-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JACQUELINE",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415679",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Evonne Brogdon, MD
• Heather D Brooks, MD
• Jeffrey C Brooks, MD
• Corwin Lee Brower, RPH
• Amy Nicole Brown
• Ralph Brown, MD
• Lisa M Broyden, MS, OTR/L
• Debora Ann Brumback, OTR
• Rhonda M. Bryant, LPC
• Caitlyn Elizabeth Renee Burch

• General Practice Dentistry in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.