Individual provider Active NPI

Aaron Timothy Brown, DMD

  • Dentist
  • Frankfort, KY
National Provider Identifier
1336632801
Registry record updated Jun 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10086 Issued in KY
Practice address
630 Comanche TRL Ste a
Frankfort, KY 40601-1754
Phone
(502) 226-1900
NPI assigned
Jun 10, 2018
Last updated
Jun 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10086 KY Primary

Addresses

Primary practice location

630 Comanche TRL Ste a
Frankfort, KY 40601-1754

Mailing address

630 Comanche TRL Ste a
Frankfort, KY 40601-1754
Phone (502) 226-1900

Other practice location 1

4642 Chamberlain Ln Ste 252
Louisville, KY 40241-3139
Phone (502) 326-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829003122 KY Order and Referring Only - DentistPractitioner - Dentist 1557611332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10086KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Avac Brown Current Accepting new patients
Designing Smiles Dentist 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.

NPI Registry JSON

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

{
    "created_epoch": "1528588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528588800000",
    "number": "1336632801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 COMANCHE TRL STE A",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011754",
            "telephone_number": "502-226-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 COMANCHE TRL STE A",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011754",
            "telephone_number": "502-226-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4642 Chamberlain Ln Ste 252",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402413139",
            "country_code": "US",
            "telephone_number": "502-326-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AARON",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-10",
        "last_updated": "2018-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.