Elinor Brown, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G1-0011592 Issued in DE

Practice address

32895 Coastal Hwy Unit 102
Bethany Beach, DE 19930-3783

Phone

(302) 537-1200

NPI assigned

Apr 10, 2023

Last updated

Sep 9, 2024By the provider in NPPES

Sex

Female

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 DE

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.

• Bethany Dental Associates

  • Dental Clinic/Center
  • Bethany Beach, DE
  • NPI 1013370121
  NPD (past)

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1194410787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32895 COASTAL HWY UNIT 102",
            "city": "BETHANY BEACH",
            "state": "DE",
            "postal_code": "199303783",
            "telephone_number": "302-537-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32895 COASTAL HWY UNIT 102",
            "city": "BETHANY BEACH",
            "state": "DE",
            "postal_code": "199303783",
            "telephone_number": "302-537-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ELINOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0011592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Elizabeth Balis
• Bethany Beach Fire Company
• Bethany Beach Volunteer Fire Co. Inc
• Bethany Dental Associates
• Bethany Primary Care
• Delaware CVS Pharmacy LLC (CVS Pharmacy# 04710)
• Delmarva Dermatology, LLC
• David Fantozzi, RPH
• Marianne Fike, M.AC., LMT
• Blair Heckel

• General Practice Dentistry in Bethany Beach, DE
• Providers in Bethany Beach, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.