NPIMap

Organization Active NPI

Dr Thad Brown DDS

  • General Practice Dentistry
  • Jonesboro, AR
National Provider Identifier
1114002599
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3561 Issued in AR
Legal business name
DR THAD BROWN DDS
Practice address
912 Osler Dr Ste a
Jonesboro, AR 72401-4330
Phone
(870) 935-0111
Fax
(870) 935-1806
NPI assigned
Oct 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Thad L BrownNPI 1366417081
Title
Dr.
Phone
(870) 935-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2104 AR
General Practice Dentistry 1223G0001X 3561 AR Primary

Addresses

Primary practice location

912 Osler Dr Ste a
Jonesboro, AR 72401-4330

Mailing address

912 Osler Dr Ste a
Jonesboro, AR 72401-4330
Phone (870) 935-0111

Other identifiers 2

IdentifierTypeStateIssuer
1366417081OtherARINDIVIDUAL NPI
1629091178OtherARNPI INDIVIDUAL

Other names 1

  • Thad Brown DDS Other name

National Provider Directory

National Provider Directory

Locations

912 Osler Dr
Ste A
Jonesboro, AR 72401
Phone (870) 935-0111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114002599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 OSLER DR STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014330",
            "telephone_number": "870-935-0111",
            "fax_number": "870-935-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 OSLER DR STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014330",
            "telephone_number": "870-935-0111",
            "fax_number": "870-935-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR THAD BROWN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THAD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "870-935-0111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2104",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1366417081",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1629091178",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thad Brown DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jonesboro, AR

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.