Andrew Blake Brown, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00203962 Issued in CO

Practice address

143 County Road 250
Durango, CO 81301-8530

Phone

(970) 247-9549

Fax

(970) 247-9556

NPI assigned

Jun 28, 2013

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southwest Colorado Mental Health Center, Inc

  dba Axis Health System

  • Federally Qualified Health Center (FQHC)
  • Durango, CO
  • NPI 1376907493

  General Practice

  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1356781736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 COUNTY ROAD 250",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018530",
            "telephone_number": "970-247-9549",
            "fax_number": "970-247-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 COUNTY ROAD 250",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018530",
            "telephone_number": "970-247-9549",
            "fax_number": "970-247-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANDREW",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "00203962",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT2510",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20165",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://radiancesmile.myoryx.com/kois/index.html#/schedule",
            "affiliation": "N",
            "endpointDescription": "Oryx Dental Software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "143 County Road 250",
            "city": "Durango",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813018530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James D. Brooke, M.D.
• Brooks Counseling & Wellness, LLC
• Randle Katherine Brooks
• Sonya Brophy, LCSW
• Amanda Rose Brown, D.D.S
• Gregory Brown
• Lauren Elizabeth Brown, OT
• Mark Stephen Brown, L.P.C.
• Nicolette Brown
• Richard A Brown, MD

• General Practice Dentistry in Durango, CO
• Providers in Durango, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.