Garth Brown, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58036 Issued in CA

Practice address

9500 Etiwanda Ave
Rancho Cucamonga, CA 91739-9662

Phone

(909) 463-5088

NPI assigned

Nov 27, 2016

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480204800000",
    "number": "1275076119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 ETIWANDA AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399662",
            "telephone_number": "909-463-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 ETIWANDA AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399662",
            "telephone_number": "909-463-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GARTH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-27",
        "last_updated": "2016-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Riquel Brown, RDH
• Carmen Brown
• Champain Irene Brown
• Chelsea Brown
• Gabrielle Taylor Brown
• James Robert Brown, M.D.
• Julia Eileen Brown, DDS
• Kimouiya Sanade Brown
• Shakell Brown, AA, BA
• Jasmine Le Browning

• General Practice Dentistry in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2016; 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.