Active NPI
David Kyle Brown, DDS
- Dentist
- Woodward, OK
National Provider Identifier
1447788898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6935
- Practice address
- 2211 Downs Ave
Woodward, OK 73801-5309 - Phone
- (580) 256-8668
- Fax
- (580) 256-8670
- NPI assigned
- May 30, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6935 | OK | Primary |
Addresses
Primary practice location
2211 Downs Ave
Woodward, OK 73801-5309
Mailing address
2211 Downs Ave
Woodward, OK 73801-5309
Phone (580) 256-8668
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 |
|---|---|---|---|
| 6935 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrah Dentistry & Braces | Dentist | 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.
-
- Dentist
- Harrah, OK
- NPI 1366858847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1447788898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 DOWNS AVE",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738015309",
"telephone_number": "580-256-8668",
"fax_number": "580-256-8670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 DOWNS AVE",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738015309",
"telephone_number": "580-256-8668",
"fax_number": "580-256-8670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DAVID",
"middle_name": "KYLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-30",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodward, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.