Sheila Renee' Brown, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019019737 Issued in IL

Practice address

850 S Wabash Ave
Suite 250
Chicago, IL 60605-3641

Phone

(312) 663-1890

Fax

(312) 663-1895

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SRB Dental PC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1760539324
  NPD (past) Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1083761647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6776",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606806776",
            "telephone_number": "312-663-1890",
            "fax_number": "312-663-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S WABASH AVE",
            "address_2": "SUITE 250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053641",
            "telephone_number": "312-663-1890",
            "fax_number": "312-663-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHEILA",
        "middle_name": "RENEE'",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEP",
            "identifier": "DNIL19737AL",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "994848",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS",
            "identifier": "2QF679",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Brown, LSW
• Sarah Brown
• Serena Brown
• Shanita Brown
• Sharony L Brown, RDN
• Sheree Brown, M.D.
• Sherrod Brown, LCSW
• Spencer Brown, MD
• Spencer M Brown, MD
• Stacey L. Brown, LCSW

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.