Organization Active NPI

Stephen D Brown DDS PA

  • General Practice Dentistry
  • Lewis Center, OH
National Provider Identifier
1073635702
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13851 Issued in OH
Legal business name
STEPHEN D BROWN DDS PA
Practice address
39 Greenmeadows Drive South
Lewis Center, OH 43035
Phone
(614) 436-6444
Fax
(614) 436-6596
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen D Brown, DDS
Title
Doctor Pres
Phone
(614) 436-6444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13851 OH Primary

Addresses

Primary practice location

39 Greenmeadows Drive South
Lewis Center, OH 43035

Mailing address

PO Box 418
39 Greenmeadows Dr South
Lewis Center, OH 43035
Phone (614) 436-6444

Other identifiers 1

IdentifierTypeStateIssuer
456874OtherUNITED CONCORDIA

Other names 1

  • Highbanks Dental Doing business as

National Provider Directory

National Provider Directory

Locations

39 Green Meadows Dr S
Lewis Center, OH 43035
Phone (614) 436-6444

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073635702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "address_2": "39 GREENMEADOWS DR SOUTH",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "43035",
            "telephone_number": "614-436-6444",
            "fax_number": "614-436-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GREENMEADOWS DRIVE SOUTH",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "43035",
            "telephone_number": "614-436-6444",
            "fax_number": "614-436-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D BROWN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR PRES",
        "authorized_official_telephone_number": "614-436-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "13851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "456874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highbanks Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.