Carmie Lou Ann Brown, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25000 Issued in TX

Practice address

12801 Edgemere Blvd # B
Ste 112
El Paso, TX 79938-9500

Phone

(915) 493-6310

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 28, 2022 through Nov 28, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smile Center for Kids I PLLC

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1689072233
  NPD (past)
• Smile Center for Kids PLLC

  • Dentist
  • El Paso, TX
  • NPI 1144661950
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1740202928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 EDGEMERE BLVD # B",
            "address_2": "STE 112",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799389500",
            "telephone_number": "915-493-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 EDGEMERE BLVD # B",
            "address_2": "STE 112",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799389500",
            "telephone_number": "915-493-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CARMIE",
        "middle_name": "LOU ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2750",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211397905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eugene Nathaniel Brooks, M.D.
• Joshua Brooks, OTR/L
• Hermisecier Wynetta Broussard
• Mary C Brower
• Richard David Brower, M.D.
• Carter Brown
• Courtney G Brown, M.D.
• Cynthia Brown, PTA
• Deborrah Brown
• Gloria Ann Brown, MS OTRL CHT

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.