Individual provider Active NPI

Olivia Clare Brown

  • General Practice Dentistry
  • Fayetteville, NC
National Provider Identifier
1467240168
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14195 Issued in NC
Practice address
2300 Ramsey St
Fayetteville, NC 28301-3856
Phone
(910) 488-2120
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14195 NC Primary
Dentist 122300000X 14195 NC

Addresses

Primary practice location

2300 Ramsey St
Fayetteville, NC 28301-3856

Mailing address

1705 Gardner Dr
Wilmington, NC 28405-8873
Phone (910) 343-5300

Other practice location 1

29 Bee Street
Charleston, SC 29425-0001
Phone (843) 876-7645

Other practice location 2

3551 Dunn Rd Ste 102
Eastover, NC 28312-9417
Phone (910) 437-0232

Other practice location 3

1705 Gardner Dr
Wilmington, NC 28405-8873
Phone (910) 343-5300

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
14195NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Musc College of Dental Medicine General Practice PastSince Nov 24, 2025 Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP Dentist Past Accepting new patients

Organizations & group practices 2

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": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1467240168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 GARDNER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058873",
            "telephone_number": "910-343-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856",
            "telephone_number": "910-488-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Bee Street",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294250001",
            "country_code": "US",
            "telephone_number": "843-876-7645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Dunn Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Eastover",
            "state": "NC",
            "postal_code": "283129417",
            "country_code": "US",
            "telephone_number": "910-437-0232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1705 Gardner Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284058873",
            "country_code": "US",
            "telephone_number": "910-343-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "OLIVIA",
        "middle_name": "CLARE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "14195",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "14195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.