Organization Active NPI

Keller Cosmetics

Doing business as Dr Misty J Brown

  • Dental Clinic/Center
  • Keller, TX
National Provider Identifier
1669810685
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
18158 Issued in TX
Legal business name
KELLER COSMETICS
Doing business as
Dr Misty J Brown
Practice address
359 Keller Pkwy
Keller, TX 76248-2206
Phone
(817) 431-6995
Fax
(817) 431-8813
NPI assigned
Jun 12, 2013
Organization subpart
Yes
Parent organization
DR MISTY J BROWNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Dr. Misty Jaye Brown, DDS
Title
Dentist
Phone
(817) 431-6995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 18158 TX Primary

Addresses

Primary practice location

359 Keller Pkwy
Keller, TX 76248-2206

Mailing address

359 Keller Pkwy
Keller, TX 76248-2206
Phone (817) 431-6995

Other names 1

  • Dr Misty J Brown Doing business as

National Provider Directory

National Provider Directory
Part of
Keller Cosmetics

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1669810685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482206",
            "telephone_number": "817-431-6995",
            "fax_number": "817-431-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482206",
            "telephone_number": "817-431-6995",
            "fax_number": "817-431-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER COSMETICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR MISTY J BROWN",
        "enumeration_date": "2013-06-12",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "JAYE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-431-6995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "18158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Misty J Brown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.