Individual provider Active NPI

Thomas R. Brown, D.D.S., F.A.G.D.

  • General Practice Dentistry
  • Wintersville, OH
National Provider Identifier
1487859880
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15625 Issued in OH
Practice address
444 Main St
Wintersville, OH 43953-3770
Phone
(740) 264-9024
Fax
(740) 264-7441
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 15625 OH Primary

Addresses

Primary practice location

444 Main St
Wintersville, OH 43953-3770

Mailing address

444 Main St
Wintersville, OH 43953-3770
Phone (740) 264-9024

Other identifiers 1

IdentifierTypeStateIssuer
2482684MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422001705 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4284933466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15625OHMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas R. Brown, DDS, Inc. General Practice Past Accepting new patients
Trinity Hospital Holding Company 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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487859880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533770",
            "telephone_number": "740-264-9024",
            "fax_number": "740-264-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533770",
            "telephone_number": "740-264-9024",
            "fax_number": "740-264-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., F.A.G.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2482684",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wintersville, OH

Sources for this page

Verify at the official NPI Registry.