Mary A Brown, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001529 Issued in WI

Practice address

4639 W Forest Home Av
Milwaukee, WI 53219-4715

Phone

(414) 546-2804

Fax

(414) 546-2805

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740369230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4639 W FOREST HOME AV",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532194715",
            "telephone_number": "414-546-2804",
            "fax_number": "414-546-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4639 W FOREST HOME AV",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532194715",
            "telephone_number": "414-546-2804",
            "fax_number": "414-546-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeesha Brown, MS, LPC
• Landra Monique Brown, LPN
• Latasha S Brown, CNM, WHNP-BC, APNP
• Marisa Brown, M.S., CCC-SLP
• Mary Brown
• Mary Dean Brown, LCSW
• Mason Anthony Brown, MD
• Melissa Brown, RN
• Melissa Ann Brown
• Michele Brown, OT

• General Practice Dentistry in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.