Douglas M Brown, D.D.S, M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

29564 Issued in CA

Practice address

540 W Baseline Rd
Suite 12
Claremont, CA 91711-1612

Phone

(909) 626-8501

Fax

(909) 624-3582

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Kitichai Rungcharassaeng DDS, Ms, and Howard Lee, DMD, Ms, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Claremont, CA
  • NPI 1083218424
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629081880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W BASELINE RD",
            "address_2": "SUITE 12",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111612",
            "telephone_number": "909-626-8501",
            "fax_number": "909-624-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W BASELINE RD",
            "address_2": "SUITE 12",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111612",
            "telephone_number": "909-626-8501",
            "fax_number": "909-624-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "29564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Zale Brewster, LCSW
• Brian R Johnson PHD Psychological Corporation Inc
• Brian T Garner
• Brittany Wertz, DO Inc
• Natalie Brooks, M.A., LMFT
• Harry C Brown, DDS
• Brianna B Browne
• Shawn Marie Bruening, DDS
• Carmelo Isidore Bruny, DDS
• Kenyatta Buford

• Orthodontics and Dentofacial Orthopedics Dentistry in Claremont, CA
• Providers in Claremont, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.