Active NPI
Matthew Brown
- Dentist
- Sarasota, FL
National Provider Identifier
1396190898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN19682
- Practice address
- 1900 Brother Geenen Way
Sarasota, FL 34236-7102 - Phone
- (941) 556-3233
- Fax
- (941) 955-8214
- NPI assigned
- May 3, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN19682 | FL | Primary |
Addresses
Primary practice location
1900 Brother Geenen Way
Sarasota, FL 34236-7102
Mailing address
5000 Windsor Park
Sarasota, FL 34235-2611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN 19682 | Other | FL | DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN19682 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1396190898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 WINDSOR PARK",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342352611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 BROTHER GEENEN WAY",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342367102",
"telephone_number": "941-556-3233",
"fax_number": "941-955-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-03",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN19682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "DN 19682",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.