Organization Active NPI

Dr. Kimberly Brown, DMD, PSC

  • Pediatric Dentistry
  • London, KY
National Provider Identifier
1366728784
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6688 Issued in KY
Legal business name
DR. KIMBERLY BROWN, DMD, PSC
Practice address
1368 E Highway 192 Byp
London, KY 40741-3123
Phone
(606) 864-6680
Fax
(606) 864-7310
NPI assigned
Oct 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Dr. Kimberly Brown, D.M.D.NPI 1164411468
Title
Owner
Phone
(606) 864-6680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6688 KY Primary

Addresses

Primary practice location

1368 E Highway 192 Byp
London, KY 40741-3123

Mailing address

PO Box 1359
London, KY 40743-1359
Phone (606) 864-6680

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1366728784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407431359",
            "telephone_number": "606-864-6680",
            "fax_number": "606-864-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 E HIGHWAY 192 BYP",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413123",
            "telephone_number": "606-864-6680",
            "fax_number": "606-864-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KIMBERLY BROWN, DMD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-864-6680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "6688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.