Individual provider Active NPI

Lori Ann Kay Brown, DDS

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1437246402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15812 Issued in MI
Practice address
3100 W Liberty Rd
Suite a
Ann Arbor, MI 48103-8724
Phone
(734) 663-6777
Fax
(734) 663-9820
NPI assigned
Oct 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15812 MI Primary

Addresses

Primary practice location

3100 W Liberty Rd
Suite a
Ann Arbor, MI 48103-8724

Mailing address

3100 W Liberty Rd
Suite a
Ann Arbor, MI 48103-8724
Phone (734) 663-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170405000081 MI Order and Referring Only - DentistPractitioner - Dentist 6305164534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15812MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Enspire Dental PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437246402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W LIBERTY RD",
            "address_2": "SUITE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038724",
            "telephone_number": "734-663-6777",
            "fax_number": "734-663-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W LIBERTY RD",
            "address_2": "SUITE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038724",
            "telephone_number": "734-663-6777",
            "fax_number": "734-663-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LORI",
        "middle_name": "ANN KAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.