Active NPI
Ronald Dean Brownfield, D.D.S.
- Dentist
- Decatur, IL
National Provider Identifier
1487861845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 331 N Edward St
Decatur, IL 62522-2227 - Phone
- (217) 423-8542
- Fax
- (217) 423-6639
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
331 N Edward St
Decatur, IL 62522-2227
Mailing address
331 N Edward St
Decatur, IL 62522-2227
Phone (217) 423-8542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160727000696 | IL | Order and Referring Only - Dentist | 1052604121 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487861845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 N EDWARD ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625222227",
"telephone_number": "217-423-8542",
"fax_number": "217-423-6639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 N EDWARD ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625222227",
"telephone_number": "217-423-8542",
"fax_number": "217-423-6639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNFIELD",
"first_name": "RONALD",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.