Active NPI
Roy Robert Brown, D.M.D.
- General Practice Dentistry
- Tucson, AZ
National Provider Identifier
1386792059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7692
- Practice address
- 521 W Wetmore Rd
Tucson, AZ 85705-1521 - Phone
- (520) 888-9047
- Fax
- (520) 887-1536
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7692 | AZ | Primary |
Addresses
Primary practice location
521 W Wetmore Rd
Tucson, AZ 85705-1521
Mailing address
521 W Wetmore Rd
Tucson, AZ 85705-1521
Phone (520) 888-9047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160120000512 | AZ | Order and Referring Only - Dentist | 5597068858 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Dental Group, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Goodman Dental Care
- General Practice Dentistry
- Tucson, AZ
- NPI 1386789923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242950400000",
"number": "1386792059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 W WETMORE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857051521",
"telephone_number": "520-888-9047",
"fax_number": "520-887-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 W WETMORE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857051521",
"telephone_number": "520-888-9047",
"fax_number": "520-887-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ROY",
"middle_name": "ROBERT",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2009-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "7692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.