Individual provider Active NPI

Jeffrey Neil Brownstein, DDS

  • Pediatric Dentistry
  • Litchfield Park, AZ
National Provider Identifier
1750576427
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D5164 Issued in AZ
Practice address
13575 W Indian School Rd
Suite 1000
Litchfield Park, AZ 85340-4901
Phone
(623) 935-9873
Fax
(623) 536-6700
NPI assigned
Sep 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D5164 AZ Primary

Addresses

Primary practice location

13575 W Indian School Rd
Suite 1000
Litchfield Park, AZ 85340-4901

Mailing address

13575 W Indian School Rd
Suite 1000
Litchfield Park, AZ 85340-4901
Phone (623) 935-9873

Other identifiers 1

IdentifierTypeStateIssuer
611849MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D5164AZMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1750576427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 W INDIAN SCHOOL RD",
            "address_2": "SUITE 1000",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404901",
            "telephone_number": "623-935-9873",
            "fax_number": "623-536-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 W INDIAN SCHOOL RD",
            "address_2": "SUITE 1000",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404901",
            "telephone_number": "623-935-9873",
            "fax_number": "623-536-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNSTEIN",
        "first_name": "JEFFREY",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D5164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611849",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.