Derek John Brown DMD, Ms, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3253 Issued in AR

Legal business name

DEREK JOHN BROWN DMD, MS, PA

Practice address

1133 N Walton Blvd Ste a
Bentonville, AR 72712-4164

Phone

(479) 273-2626

Fax

(479) 273-5959

NPI assigned

Oct 6, 2008

Last updated

Oct 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derek John Brown, DMD, MSNPI 1710032479

Title

President

Phone

(479) 273-2626

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derek John Brown, D.M.D., M.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bentonville, AR
  • NPI 1710032479
  NPD (past) Authorized official

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1457502791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 N WALTON BLVD STE A",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124164",
            "telephone_number": "479-273-2626",
            "fax_number": "479-273-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N WALTON BLVD STE A",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124164",
            "telephone_number": "479-273-2626",
            "fax_number": "479-273-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK JOHN BROWN DMD, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-273-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "3253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvin Delgado-Ramos
• Darian Dellorto
• Haley Denney, PTA
• Heidi Elizabeth Dennis, LPC
• Destanie R Denny
• Justin Deremo
• Barbara Dern, LPC
• Steven Detring
• Pardha Devaki, MD
• Deborah Devaraj

• Orthodontics and Dentofacial Orthopedics Dentistry in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.