Individual provider Active NPI

Zachary Tyler Brown, DDS

  • General Practice Dentistry
  • Cedar Rapids, IA
National Provider Identifier
1164153235
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS10165 Issued in IA
Practice address
3605 Center Point Rd NE
Cedar Rapids, IA 52402-5571
Phone
(319) 294-2281
NPI assigned
Jun 20, 2022
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS10165 FL
General Practice Dentistry 1223G0001X DDS10165 IA Primary
General Practice Dentistry 1223G0001X DN27095 FL

Addresses

Primary practice location

3605 Center Point Rd NE
Cedar Rapids, IA 52402-5571

Mailing address

1405 Lyndhurst Dr
Hiawatha, IA 52233-1872
Phone (319) 533-4081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS10165FLMDGeneral Practice Dentistry
DN27095FLMDGeneral Practice Dentistry
DDS10165IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Valley Ventures, P.C. CurrentSince Jun 23, 2025 Accepting new patients
Coast Florida P.a. PastSince Jun 1, 2022 Accepting new patients
Coast Florida P.a. PastSince Jun 1, 2022 Accepting new patients

Locations

3605 Center Point Rd NE
Cedar Rapids, IA 52402
Phone (319) 294-2281

Organizations & group practices 3

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1164153235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 LYNDHURST DR",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331872",
            "telephone_number": "319-533-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025571",
            "telephone_number": "319-294-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ZACHARY",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DDS10165",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS10165",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.