Cleve T Brown, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4342 Issued in LA

Practice address

615 Williams St
Denham Springs, LA 70726-3630

Phone

(225) 665-2382

NPI assigned

Aug 10, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659382547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 WILLIAMS ST",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707263630",
            "telephone_number": "225-665-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WILLIAMS ST",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707263630",
            "telephone_number": "225-665-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CLEVE",
        "middle_name": "T",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1843423",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla M Broggi
• Avery Brielle Broom
• Ali Michelle Broussard
• Cher Broussard
• Brooklyn Marie Brown
• David Alan Brown, D.D.S
• Megan C Brown
• Terrica Alexis Brown
• Tyecha Brown
• Whitney Brown, LPC

• General Practice Dentistry in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.