Individual provider Active NPI

Heather Brown, D.D.S.

  • General Practice Dentistry
  • Plantation, FL
National Provider Identifier
1699180356
Registry record updated Aug 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN24016 Issued in FL
Practice address
7420 NW 5TH St Ste 101
Plantation, FL 33317-1611
Phone
(954) 791-0330
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040058 PA
General Practice Dentistry 1223G0001X 0401414695 VA
General Practice Dentistry 1223G0001X DN24016 FL Primary

Addresses

Primary practice location

7420 NW 5TH St Ste 101
Plantation, FL 33317-1611

Mailing address

219 Mallory CT
Weston, FL 33326-3416
Phone (540) 533-4227

Other practice location 1

1871 Amherst St
Winchester, VA 22601-2801
Phone (540) 667-8165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 2, 2019 through Jan 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS040058PAMDDentist
DN24016FLMDGeneral Practice Dentistry
0401414695VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Impressions, LLC Dentist Past Accepting new patients
Plantation Park Dental Associates, P.a. General Practice PastSince Sep 1, 2019 Accepting new patients
Dr. Smile PA General Practice PastSince Sep 1, 2019 Accepting new patients
Gerald J Brown PC General Practice PastSince Sep 1, 2024 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566691200000",
    "number": "1699180356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 MALLORY CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263416",
            "telephone_number": "540-533-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 NW 5TH ST STE 101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171611",
            "telephone_number": "954-791-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1871 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012801",
            "country_code": "US",
            "telephone_number": "540-667-8165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2019-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040058",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414695",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.