Regan Frederick Brown, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6077-015 Issued in WI

Practice address

227 Meridian Dr
Suite 3
New Richmond, WI 54017-2565

Phone

(715) 246-5150

Fax

(651) 738-9048

NPI assigned

Apr 17, 2007

Last updated

Jun 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 18, 2016 through Nov 18, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Periodontal Center

  dba The Periodontal Center

  • Periodontics
  • Hudson, WI
  • NPI 1497348239
  NPD (past)
• Great Lakes Oral & Maxillofacial Surgery, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Stillwater, MN
  • NPI 1508058322
  NPD (past)
• The Oral Surgery Center

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Woodbury, MN
  • NPI 1104864529

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1114143534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 SEASONS PKWY",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253414",
            "telephone_number": "651-738-2341",
            "fax_number": "651-738-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MERIDIAN DR",
            "address_2": "SUITE 3",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172565",
            "telephone_number": "715-246-5150",
            "fax_number": "651-738-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "REGAN",
        "middle_name": "FREDERICK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "6077-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Darwin Brakke
• Angela C Brandes, MD
• Marietta Britton, RRT
• Kathryn Brodie, COTA/L
• Donald G. Brown, D.C.
• Kris Budke, CRNA
• Bradley Joe Byker, CRNA
• Mackenzie Campbell, OTR/L
• Taylor J Cardinal
• Joan Chamberlin, CSAC

• Oral and Maxillofacial Surgery (Dentist) in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.