Tyler James Brown, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

5885-015 Issued in WI

Practice address

996 S Green Bay Rd
Neenah, WI 54956-3627

Phone

(920) 725-0515

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1639282916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 S GREEN BAY RD",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563627",
            "telephone_number": "920-725-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 S GREEN BAY RD",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563627",
            "telephone_number": "920-725-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5885-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Rose Brown, RDN
• Dawn Marie Brown, D.D.S.
• Kristen Brown, PHARMD
• Timothy John Brown, DDS
• Tipton J Brown, DDS
• Allison Ann Brubaker, M.D.
• Bruce Neenah Senior Living, Inc. (Parkside Senior Living)
• Daniel Brunner, DO
• Jessica Lee Brunner, APNP
• McKenna Brust, PHARMD

• Dentist in Neenah, WI
• Providers in Neenah, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.