Organization Active NPI

Christopher H. Brown, BS Dent, DDS,PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Hickory, NC
National Provider Identifier
1295752194
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CHRISTOPHER H. BROWN, BS DENT, DDS,PA
Practice address
261 18TH Street Cir SE
Hickory, NC 28602-1362
Phone
(828) 327-7867
Fax
(828) 327-6299
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Mrs. Rebecca B McKenzie
Title
Office Manager
Phone
(828) 327-7867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

261 18TH Street Cir SE
Hickory, NC 28602-1362

Mailing address

261 18TH Street Cir SE
Hickory, NC 28602-1362
Phone (828) 327-7867

Other identifiers 2

IdentifierTypeStateIssuer
8903349MedicaidNC
890336NMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140808002380 NC Part B Supplier - Clinic/Group Practice 5193942464 Receives reassigned benefits from 1 practitioner
Practice locations: Hickory, NC; Morganton, NC

National Provider Directory

National Provider Directory

Locations

261 18th Street Cir SE
Hickory, NC 28602
Phone (828) 327-4513

110 Juniper St
Ste 400
Morganton, NC 28655
Phone (828) 327-4513

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1295752194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 18TH STREET CIR SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021362",
            "telephone_number": "828-327-7867",
            "fax_number": "828-327-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 18TH STREET CIR SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021362",
            "telephone_number": "828-327-7867",
            "fax_number": "828-327-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER H. BROWN, BS DENT, DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-327-7867",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8903349",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890336N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.