Active NPI
Christopher R Brown, DDS
- Dentist
- Versailles, IN
National Provider Identifier
1275601585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12008367A
- Practice address
- 823 S Adams Hwy 421 S
Versailles, IN 47042-0685 - Phone
- (812) 689-5151
- Fax
- (812) 689-6303
- NPI assigned
- Dec 4, 2006
- Last updated
- Oct 4, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12008367A | IN | Primary |
Addresses
Primary practice location
823 S Adams Hwy 421 S
Versailles, IN 47042-0685
Mailing address
PO Box 685
Versailles, IN 47042-0685
Phone (812) 689-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100211700A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 4, 2014 through Feb 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12008367A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel J Kress DDS, Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Versailles, IN
- NPI 1093091688
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1275601585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 685",
"city": "VERSAILLES",
"state": "IN",
"postal_code": "470420685",
"telephone_number": "812-689-5151",
"fax_number": "812-689-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 S ADAMS HWY 421 S",
"city": "VERSAILLES",
"state": "IN",
"postal_code": "470420685",
"telephone_number": "812-689-5151",
"fax_number": "812-689-6303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12008367A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100211700A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Versailles, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.