Organization Active NPI

Justin T Brown DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Farmington, UT
National Provider Identifier
1417636655
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JUSTIN T BROWN DDS PC
Practice address
670 Shepard LN Ste 105
Farmington, UT 84025-3936
Phone
(801) 447-2001
Fax
(801) 447-2003
NPI assigned
Jul 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Justin Tyler Brown, DDSNPI 1780892414
Title
President
Phone
(801) 447-2001

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

670 Shepard LN Ste 105
Farmington, UT 84025-3936

Mailing address

670 Shepard LN Ste 105
Farmington, UT 84025-3936
Phone (801) 447-2001

Other names 1

  • Dr Brown Orthodontics Other name

National Provider Directory

National Provider Directory
Tax ID family
Dr Brown Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1417636655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 SHEPARD LN STE 105",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253936",
            "telephone_number": "801-447-2001",
            "fax_number": "801-447-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 SHEPARD LN STE 105",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253936",
            "telephone_number": "801-447-2001",
            "fax_number": "801-447-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN T BROWN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-447-2001",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Brown Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.