Individual provider Active NPI

Evelyn M. Brown, DDS

  • General Practice Dentistry
  • Cary, NC
National Provider Identifier
1336223759
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7115 Issued in NC
Practice address
455 Swiftside Drive
Suite 101
Cary, NC 27518
Phone
(919) 851-5166
Fax
(919) 851-5450
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7115 NC Primary

Addresses

Primary practice location

455 Swiftside Drive
Suite 101
Cary, NC 27518

Mailing address

455 Swiftside Drive
Suite 101
Cary, NC 27518
Phone (919) 851-5166

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 25, 2016 through May 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7115NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah E Myers DDS PA General Practice PastSince Jun 6, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1336223759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SWIFTSIDE DRIVE",
            "address_2": "SUITE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-851-5166",
            "fax_number": "919-851-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SWIFTSIDE DRIVE",
            "address_2": "SUITE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-851-5166",
            "fax_number": "919-851-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "EVELYN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.