Organization Active NPI

Roger J. Brown, DMD, PC

  • Endodontics
  • Glenwood Springs, CO
National Provider Identifier
1710188743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7142 Issued in CO
Legal business name
ROGER J. BROWN, DMD, PC
Practice address
1614 Grand Ave
Suite E
Glenwood Springs, CO 81601-3859
Phone
(970) 945-9499
Fax
(970) 945-5134
NPI assigned
May 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roger Brown, D,M.D.NPI 1295741478
Title
Endodontist-President
Phone
(970) 945-9499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 7142 CO Primary

Addresses

Primary practice location

1614 Grand Ave
Suite E
Glenwood Springs, CO 81601-3859

Mailing address

1614 Grand Ave
Suite E
Glenwood Springs, CO 81601-3859
Phone (970) 945-9499

National Provider Directory

National Provider Directory

Locations

1614 Grand Ave
Ste E
Glenwood Springs, CO 81601
Phone (970) 945-9499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710188743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 GRAND AVE",
            "address_2": "SUITE E",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013859",
            "telephone_number": "970-945-9499",
            "fax_number": "970-945-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 GRAND AVE",
            "address_2": "SUITE E",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013859",
            "telephone_number": "970-945-9499",
            "fax_number": "970-945-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER J. BROWN, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "ENDODONTIST-PRESIDENT",
        "authorized_official_telephone_number": "19709459499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "7142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.