David Thomas Brown, DDS
Individual provider Active NPI General Practice Dentistry · Kalamazoo, MI
NPI 1376547208 · NPPES record last updated Jan 31, 2016
Key facts
- NPI
- 1376547208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901012181 (MI)
- Practice address
- 2134 E G Ave
Kalamazoo, MI 49004-1751 - Phone
- (269) 349-4231
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160208000016 | MI | Order and Referring Only - Dentist |
2062716350 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901012181 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David T Brown DDS PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901012181 | MI | Yes |
Addresses
Primary practice location
2134 E G Ave
Kalamazoo, MI 49004-1751
Mailing address
2134 E G Ave
Kalamazoo, MI 49004-1751
Phone (269) 349-4231
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1696733 12 | Medicaid | MI |
Other providers in Kalamazoo, MI
- Cathy L Brown
- Charlene Rinehart Brown
- Christopher Brown
- Cristy Brown
- David C Brown Jr.
- Deshana Brown
- Elise Brown
- Gervine Lavina Brown
- Jini Brown
- John Thomas Brown
All providers in Kalamazoo, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.