Individual provider Active NPI

Alexis Marie Brown, DDS

  • General Practice Dentistry
  • Westminster, CO
National Provider Identifier
1093153033
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN00202370 Issued in CO
Practice address
7025 Sheridan Blvd
Suite 200
Westminster, CO 80003
Phone
(303) 427-4001
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN00202370 CO Primary
General Practice Dentistry 1223G0001X 28900 TX

Addresses

Primary practice location

7025 Sheridan Blvd
Suite 200
Westminster, CO 80003

Mailing address

7025 Sheridan Blvd
Suite 200
Westminster, CO 80003
Phone (303) 427-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20150731016395 CO Order and Referring Only - DentistPractitioner - Dentist 8921312125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN00202370COMDGeneral Practice Dentistry
28900TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Lake Dental Group, LLP General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1093153033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 SHERIDAN BLVD",
            "address_2": "SUITE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80003",
            "telephone_number": "303-427-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 SHERIDAN BLVD",
            "address_2": "SUITE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80003",
            "telephone_number": "303-427-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN00202370",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.