Active NPI
Austin Kent Brown, DDS
- Dentist
- Clayton, CA
National Provider Identifier
1578086492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS101489
- Practice address
- 5433 Clayton Rd Ste D
Clayton, CA 94517-1090 - Phone
- (925) 672-1559
- Fax
- (925) 672-1559
- NPI assigned
- Jul 23, 2017
- 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 | DDS101489 | CA | Primary |
Addresses
Primary practice location
5433 Clayton Rd Ste D
Clayton, CA 94517-1090
Mailing address
5433 Clayton Rd Ste D
Clayton, CA 94517-1090
Phone (925) 672-1559
Other practice location 1
USA Dental Activity 652 Hamilton Rd.
Fort Sill, OK 73503
Phone (580) 442-3905
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | austinkentbrown@gmail.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS101489 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1578086492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5433 CLAYTON RD STE D",
"city": "CLAYTON",
"state": "CA",
"postal_code": "945171090",
"telephone_number": "925-672-1559",
"fax_number": "925-672-1575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5433 CLAYTON RD STE D",
"city": "CLAYTON",
"state": "CA",
"postal_code": "945171090",
"telephone_number": "925-672-1559",
"fax_number": "925-672-1559"
}
],
"practiceLocations": [
{
"address_1": "USA Dental Activity 652 Hamilton Rd.",
"address_purpose": "LOCATION",
"city": "Fort Sill",
"state": "OK",
"postal_code": "73503",
"country_code": "US",
"telephone_number": "580-442-3905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "AUSTIN",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-23",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS101489",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "austinkentbrown@gmail.com",
"affiliation": "N",
"endpointDescription": "austinkentbrown@gmail.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5433 Clayton Rd Ste D",
"city": "Clayton",
"state": "CA",
"country_code": "US",
"postal_code": "945171090",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clayton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.