Active NPI
Anita Luleria Brown, D.D.S.
- Dentist
- Oak Ridge, TN
National Provider Identifier
1174066104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10383
- Practice address
- 445 S Illinois Ave
Oak Ridge, TN 37830-7510 - Phone
- (865) 888-5923
- NPI assigned
- Nov 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10383 | TN | Primary |
Addresses
Primary practice location
445 S Illinois Ave
Oak Ridge, TN 37830-7510
Mailing address
305 Dominick PT
Knoxville, TN 37934-3734
Phone (865) 279-9374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161220002409 | TN | Order and Referring Only - Dentist | 5991086480 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1174066104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 DOMINICK PT",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379343734",
"telephone_number": "865-279-9374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 S ILLINOIS AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307510",
"telephone_number": "865-888-5923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ANITA",
"middle_name": "LULERIA",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-22",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.