Kimberly A Brown, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

582 Issued in KY

Practice address

1368 Highway 192 E
London, KY 40741-3123

Phone

(606) 864-6680

Fax

(606) 864-7310

NPI assigned

Oct 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Dr. Kimberly Brown, DMD, PSC

  • Pediatric Dentistry
  • London, KY
  • NPI 1366728784
  NPD (past) Authorized official

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1164411468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "address_2": "1368 E. HIGHWAY 192",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407431359",
            "telephone_number": "606-864-6680",
            "fax_number": "606-864-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 HIGHWAY 192 E",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413123",
            "telephone_number": "606-864-6680",
            "fax_number": "606-864-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "582",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6688",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45605607",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60066883",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marietta Brooks, APRN
• Sheila Brooks
• Zachary Michael Broughton, PMHNP-BC
• Donald Edward Brown, M.D.
• James Michael Brown, D.O.
• Markitta A Brown, APRN, FNP-DNP, PMHNP
• Royale Brown, MSN, APRN, AGPCNP-BC
• Tabitha A Brown, PTA
• Terri Brown, D.M.D.
• Laura Christine Browning, CPM

• All providers in London, KY
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.