Organization Active NPI

Dr. Brown'S Children'S Dental Center, PC

  • Pediatric Dentistry
  • Kingston, PA
National Provider Identifier
1295076495
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS027347L Issued in PA
Legal business name
DR. BROWN'S CHILDREN'S DENTAL CENTER, PC
Practice address
487 Northampton St
Kingston, PA 18704-4509
Phone
(570) 288-4591
Fax
(570) 714-7793
NPI assigned
Mar 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Richard A Brown, DMD
Title
Owner/President
Phone
(570) 288-4591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DS027347L PA Primary

Addresses

Primary practice location

487 Northampton St
Kingston, PA 18704-4509

Mailing address

487 Northampton St
Kingston, PA 18704-4509
Phone (570) 288-4591

Other identifiers 1

IdentifierTypeStateIssuer
0012859610003OtherPAPA MEDICAL ASSISTANCE

National Provider Directory

National Provider Directory

Locations

487 Northampton St
Kingston, PA 18704
Phone (570) 288-4591

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1295076495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 NORTHAMPTON ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044509",
            "telephone_number": "570-288-4591",
            "fax_number": "570-714-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 NORTHAMPTON ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044509",
            "telephone_number": "570-288-4591",
            "fax_number": "570-714-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BROWN'S CHILDREN'S DENTAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "570-288-4591",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS027347L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MEDICAL ASSISTANCE",
            "identifier": "0012859610003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.