NPIMap

Organization Active NPI

Stanley E Brown DDS SC

  • General Practice Dentistry
  • Antigo, WI
National Provider Identifier
1629190863
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5020015 Issued in WI
Legal business name
STANLEY E BROWN DDS SC
Practice address
705 Fifth Ave
Antigo, WI 54409
Phone
(715) 623-5331
Fax
(715) 627-1852
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stanley E Brown, DDSNPI 1447484928
Title
Owner President
Phone
(715) 623-5331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5020015 WI Primary

Addresses

Primary practice location

705 Fifth Ave
Antigo, WI 54409

Mailing address

705 Fifth Ave
Antigo, WI 54409
Phone (715) 623-5331

National Provider Directory

National Provider Directory

Locations

705 5th Ave
Antigo, WI 54409
Phone (715) 623-5331

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629190863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 FIFTH AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "54409",
            "telephone_number": "715-623-5331",
            "fax_number": "715-627-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 FIFTH AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "54409",
            "telephone_number": "715-623-5331",
            "fax_number": "715-627-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY E BROWN DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "715-623-5331",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5020015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antigo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.