Active NPI
Desmon Antonio Brown Jr., DDS
- Oral and Maxillofacial Surgery (Dentist)
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 12011641A
- Practice address
- 1001 W. 10TH Street
#3101
Indianapolis, IN 46202-2859 - Phone
- (317) 630-6297
- Fax
- (317) 630-2424
- NPI assigned
- Jun 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DRP560 | FL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 12011641A | IN | Primary |
Addresses
Primary practice location
1001 W. 10TH Street
#3101
Indianapolis, IN 46202-2859
Mailing address
1168 Westvalie Drive
Carmel, IN 46032
Phone (904) 537-5764
Other practice location 1
550 University Blvd Ste 3195
Indianapolis, IN 46202-5149
Phone (317) 274-7433
Other practice location 2
1121 W Michigan St
Indianapolis, IN 46202-5211
Phone (317) 274-7433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Howard University College of Dentistry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 274-8300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011641A | IN | MD | Oral and Maxillofacial Surgery (Dentist) |
| DRP560 | FL | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Interoperability endpoints
- dbrown14816@direct.eskenazihealth.edu
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.
-
- General Practice Dentistry
- Indianapolis, IN
- NPI 1689790552
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1457554412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1168 WESTVALIE DRIVE",
"city": "CARMEL",
"state": "IN",
"postal_code": "46032",
"telephone_number": "904-537-5764",
"fax_number": "317-274-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W. 10TH STREET",
"address_2": "#3101",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022859",
"telephone_number": "317-630-6297",
"fax_number": "317-630-2424"
}
],
"practiceLocations": [
{
"address_1": "550 University Blvd Ste 3195",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025149",
"country_code": "US",
"telephone_number": "317-274-7433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1121 W Michigan St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025211",
"country_code": "US",
"telephone_number": "317-274-7433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "DESMON",
"middle_name": "ANTONIO",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "FL",
"license": "DRP560",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IN",
"license": "12011641A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.