Thad L Brown, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2104 Issued in AR

Practice address

912 Osler Dr
Jonesboro, AR 72401-4366

Phone

(870) 935-0111

Fax

(870) 935-1806

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366417081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 OSLER DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014330",
            "telephone_number": "870-935-0111",
            "fax_number": "870-935-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 OSLER DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014366",
            "telephone_number": "870-935-0111",
            "fax_number": "870-935-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "THAD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "2104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101712608",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58481",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID NUMBE",
            "identifier": "842237",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Brown
• Sheena Brown
• Shelly Dawn Brown, MCD,CCC-SLP
• Sherry Lynn Brown, APRN
• Stephen Brown, MHPP
• Eric Ray Brownderville, MHPP
• Samuel Tyler Brownhill
• Browning Medical
• Alexander Um Broyles, DO
• Martin Ruben Broyles, P.T.

• Dentist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.