Stephen Lee Brown, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9591 Issued in MN

Practice address

1350 N 7TH St
Lake City, MN 55041-1251

Phone

(651) 345-3023

Fax

(651) 345-3064

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in MN

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

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.

• Pepin Valley Dental

  • Dental Clinic/Center
  • Lake City, MN
  • NPI 1114188307
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124189444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 N 7TH ST",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411251",
            "telephone_number": "651-345-3023",
            "fax_number": "651-345-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N 7TH ST",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411251",
            "telephone_number": "651-345-3023",
            "fax_number": "651-345-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STEPHEN",
        "middle_name": "LEE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal M Boe, APRN, CNP
• Lois A Borner, D.C.
• Jill R Braaten, RD
• Carlee Ann Braun
• Shannon M Brickner, DPT
• Nicholas Chamberlain, DPT
• City of Lake City (Lake City Ambulance Service)
• Kayla Dale Dascher, CNP
• Dean a Flugstad DDS PA
• Corissa Dillon

• General Practice Dentistry in Lake City, MN
• Providers in Lake City, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.