Active NPI
Jeffrey C. Brown, D.D.S.
- General Practice Dentistry
- Coldspring, TX
National Provider Identifier
1083728596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15698
- Practice address
- 15130 State Hwy 150 West
Coldspring, TX 77331-0547 - Phone
- (936) 653-4564
- Fax
- (936) 653-3899
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15698 | TX | Primary |
Addresses
Primary practice location
15130 State Hwy 150 West
Coldspring, TX 77331-0547
Mailing address
PO Box 547
Coldspring, TX 77331-0547
Phone (936) 653-4564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083728596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"city": "COLDSPRING",
"state": "TX",
"postal_code": "773310547",
"telephone_number": "936-653-4564",
"fax_number": "936-653-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15130 STATE HWY 150 WEST",
"city": "COLDSPRING",
"state": "TX",
"postal_code": "773310547",
"telephone_number": "936-653-4564",
"fax_number": "936-653-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JEFFREY",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "15698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coldspring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.