Individual provider Active NPI

Alla V Brown, D.M.D

  • General Practice Dentistry
  • Buford, GA
National Provider Identifier
1457438913
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN013086 Issued in GA
Practice address
5328 Friendship Rd Ste 200
Buford, GA 30518-9026
Phone
(678) 714-9199
Fax
(678) 714-9398
NPI assigned
Nov 1, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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 DN013086 GA Primary

Addresses

Primary practice location

5328 Friendship Rd Ste 200
Buford, GA 30518-9026

Mailing address

5328 Friendship Rd Ste 200
Buford, GA 30518-9026
Phone (678) 714-9199

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

LicenseStateTypeSpecialty
DN013086GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alla. V. Brown, D.M.D., P.C. Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1457438913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5328 FRIENDSHIP RD STE 200",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305189026",
            "telephone_number": "678-714-9199",
            "fax_number": "678-714-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5328 FRIENDSHIP RD STE 200",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305189026",
            "telephone_number": "678-714-9199",
            "fax_number": "678-714-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALLA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.