Organization Active NPI

Wayman Brown, D.D.S. , P.C.

  • Dentist
  • Upper Marlboro, MD
National Provider Identifier
1346460805
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0011436 Issued in MD
Legal business name
WAYMAN BROWN, D.D.S. , P.C.
Practice address
20 Watkins Park Dr
Upper Marlboro, MD 20774-1628
Phone
(301) 249-4411
Fax
(301) 218-1631
NPI assigned
Apr 26, 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. Wayman Brown, D.D.S.
Title
President, Owner
Phone
(301) 249-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0011436 MD Primary

Addresses

Primary practice location

20 Watkins Park Dr
Upper Marlboro, MD 20774-1628

Mailing address

20 Watkins Park Dr
Upper Marlboro, MD 20774-1628
Phone (301) 249-4411

National Provider Directory

National Provider Directory

Locations

20 Watkins Park Dr
Uppr Marlboro, MD 20774
Phone (301) 350-8500

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346460805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WATKINS PARK DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741628",
            "telephone_number": "301-249-4411",
            "fax_number": "301-218-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WATKINS PARK DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741628",
            "telephone_number": "301-249-4411",
            "fax_number": "301-218-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYMAN BROWN, D.D.S. , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WAYMAN",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "301-249-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "0011436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

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.