NPIMap

Organization Active NPI

Keith Brown DMD, Inc.

  • Dentist
  • Lucedale, MS
National Provider Identifier
1245753300
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2663-92D Issued in MS
Legal business name
KEITH BROWN DMD, INC.
Doing business as
Brown Family Dentistry
Practice address
16 Plaza Dr
Lucedale, MS 39452-6180
Phone
(601) 947-1219
Fax
(601) 947-9461
NPI assigned
Jul 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Authorized official

Name
Dr. Keith Abram Brown, DMDNPI 1225258676
Title
Owner /Dentist
Phone
(601) 947-1219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2663-92D MS Primary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3948-17 MS

Addresses

Primary practice location

16 Plaza Dr
Lucedale, MS 39452-6180

Mailing address

PO Box 6
Lucedale, MS 39452-0006
Phone (601) 947-1219

Other names 1

  • Brown Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

16 Plaza Dr
Lucedale, MS 39452
Phone (601) 947-1219

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1245753300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394520006",
            "telephone_number": "601-947-1219",
            "fax_number": "601-947-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PLAZA DR",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526180",
            "telephone_number": "601-947-1219",
            "fax_number": "601-947-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH BROWN DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ABRAM",
        "authorized_official_title_or_position": "OWNER /DENTIST",
        "authorized_official_telephone_number": "601-947-1219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "2663-92D",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "3948-17",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brown Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lucedale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.