Organization Active NPI

Garnett C. Brown III D.M.D. PSC

  • Periodontics
  • Lexington, KY
National Provider Identifier
1568829802
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6345 Issued in KY
Legal business name
GARNETT C. BROWN III D.M.D. PSC
Practice address
1001 Monarch St
Suite 200
Lexington, KY 40513-1495
Phone
(859) 685-3110
Fax
(859) 296-5970
NPI assigned
Jan 18, 2016
Last updated
Jan 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Authorized official

Name
Dr. Garnett C. Brown III, DMD
Title
Dr.
Phone
(859) 685-3110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 6345 KY Primary

Addresses

Primary practice location

1001 Monarch St
Suite 200
Lexington, KY 40513-1495

Mailing address

1001 Monarch St
Suite 200
Lexington, KY 40513-1495
Phone (859) 685-3110

Other identifiers 1

IdentifierTypeStateIssuer
6345OtherKYLICENSE

National Provider Directory

National Provider Directory

Locations

1001 Monarch St
Ste 200
Lexington, KY 40513
Phone (859) 224-3026

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1568829802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MONARCH ST",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131495",
            "telephone_number": "859-685-3110",
            "fax_number": "859-296-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MONARCH ST",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131495",
            "telephone_number": "859-685-3110",
            "fax_number": "859-296-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNETT C. BROWN III D.M.D. PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GARNETT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "859-685-3110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "6345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6345",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.