Patrick Kelly Brown, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PATRICK KELLY BROWN, DDS, PLLC

Practice address

1300 Bridge Barrier Rd
Carolina Beach, NC 28428-3938

Phone

(919) 619-0010

NPI assigned

Apr 17, 2023

Last updated

Apr 17, 2023By 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. Patrick Brown, DDSNPI 1124258215

Title

Dentist/Member

Phone

(919) 619-0010

Specialties & licenses 1

Addresses

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.

• Patrick Brown, D.D.S.

  • Dentist
  • Fayetteville, NC
  • NPI 1124258215
  NPD Authorized official

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1558057034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 ANCHOR WAY",
            "city": "KURE BEACH",
            "state": "NC",
            "postal_code": "284494803",
            "telephone_number": "919-619-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BRIDGE BARRIER RD",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283938",
            "telephone_number": "919-619-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK KELLY BROWN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DENTIST/MEMBER",
        "authorized_official_telephone_number": "919-619-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Carolina Beach, NC
• Providers in Carolina Beach, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.