Individual provider Active NPI

David M Brown, DDS

  • Dentist
  • Roswell, NM
National Provider Identifier
1710271226
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD3488 Issued in NM
Practice address
114 E 4TH St Ste 100
Roswell, NM 88201-6283
Phone
(575) 627-0414
Fax
(575) 625-6713
NPI assigned
Jun 1, 2011
Last updated
Jun 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD3488 NM Primary

Addresses

Primary practice location

114 E 4TH St Ste 100
Roswell, NM 88201-6283

Mailing address

114 E 4TH St Ste 100
Roswell, NM 88201-6283
Phone (575) 627-0414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20160926001378 NM Order and Referring Only - DentistPractitioner - Dentist 7517254105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD3488NMMDDentist
31721TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maupin and Brown Dentistry PC Dentist Current Accepting new patients
Lubbock Dental Implant Center PLLC Dentist Current Accepting new patients
Maupin Dental, LLC Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1710271226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 4TH ST STE 100",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016283",
            "telephone_number": "575-627-0414",
            "fax_number": "575-625-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 4TH ST STE 100",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016283",
            "telephone_number": "575-627-0414",
            "fax_number": "575-625-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.