Organization Active NPI

Dexter B Brown DDS Ms

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kennewick, WA
National Provider Identifier
1295959146
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE00003667 Issued in WA
Legal business name
DEXTER B BROWN DDS MS
Practice address
306 N Delaware St
Kennewick, WA 99336-7702
Phone
(509) 735-7591
Fax
(509) 783-5815
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dexter B Brown, DDS MS
Title
Owner
Phone
(509) 735-7591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE00003667 WA Primary

Addresses

Primary practice location

306 N Delaware St
Kennewick, WA 99336-7702

Mailing address

306 N Delaware St
Kennewick, WA 99336
Phone (509) 735-7591

Other identifiers 1

IdentifierTypeStateIssuer
1902840440OtherNPI-INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

306 N Delaware St
Kennewick, WA 99336
Phone (509) 735-7591

Practitioners & affiliated clinicians

Practitioners 3

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295959146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N DELAWARE ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-735-7591",
            "fax_number": "509-783-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N DELAWARE ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367702",
            "telephone_number": "509-735-7591",
            "fax_number": "509-783-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEXTER B BROWN DDS MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-735-7591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00003667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-INDIVIDUAL",
            "identifier": "1902840440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.