Donald M. Brown D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

17650 Issued in CA

Legal business name

DONALD M. BROWN D.D.S.

Doing business as

Children's Dental Bldg

Practice address

11635 E South St
Artesia, CA 90702

Phone

(562) 924-4401

Fax

(562) 924-1072

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Donald M Brown, DDS

Title

Owner

Phone

(562) 924-4401

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Children's Dental Bldg Doing business as

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1659591931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "address_2": "11635 E SOUTH ST",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "90702",
            "telephone_number": "562-924-4401",
            "fax_number": "562-924-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11635 E SOUTH ST",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "90702",
            "telephone_number": "562-924-4401",
            "fax_number": "562-924-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD M. BROWN D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-924-4401",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "17650",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "17650",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "31174",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235777",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental Bldg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sandra L Duarte, LCSW
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• Dentist in Artesia, CA
• Providers in Artesia, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.