Active NPI
Nathan Edward Brown, DMD
- Endodontics
- Great Falls, MT
National Provider Identifier
1265816177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DEN-DEN-LIC-22648
- Practice address
- 2617 16TH Ave S
Great Falls, MT 59405-5202 - Phone
- (406) 452-8180
- Fax
- (406) 452-8195
- NPI assigned
- Jul 10, 2015
- Last updated
- Aug 4, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DEN-DEN-LIC-22648 | MT | Primary |
Addresses
Primary practice location
2617 16TH Ave S
Great Falls, MT 59405-5202
Mailing address
2617 16TH Ave S
Great Falls, MT 59405-5202
Phone (208) 819-7895
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN-DEN-LIC-22648 | MT | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathan Brown DMD, PLLC | Endodontics | Current | Accepting new patients |
Locations
2617 16th Ave S
Great Falls, MT 59405
Phone (208) 819-7895
Organizations & group practices 1
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.
-
- Endodontics
- Great Falls, MT
- NPI 1497492771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1265816177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 16TH AVE S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055202",
"telephone_number": "208-819-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 16TH AVE S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055202",
"telephone_number": "406-452-8180",
"fax_number": "406-452-8195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "NATHAN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-10",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MT",
"license": "DEN-DEN-LIC-22648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.