Kevin E. Brown, DMD, Ms, PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

5380 Issued in NC

Legal business name

KEVIN E. BROWN, DMD, MS, PA

Practice address

3305 16TH Ave SE Ste 12
Suite 301
Conover, NC 28613-9213

Phone

(828) 465-0187

Fax

(828) 465-5680

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin E Brown, DMD, MS

Title

President

Phone

(828) 465-0187

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093929994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 16TH AVE SE STE 12",
            "address_2": "SUITE 301",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139213",
            "telephone_number": "828-465-0187",
            "fax_number": "828-465-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 16TH AVE SE STE 12",
            "address_2": "SUITE 301",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139213",
            "telephone_number": "828-465-0187",
            "fax_number": "828-465-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN E. BROWN, DMD, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-465-0187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "5380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Conover, NC
• Providers in Conover, NC by specialty
• Periodontics in North Carolina

• 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.