Organization Active NPI

Michael a Brown, DMD, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clackamas, OR
National Provider Identifier
1750613519
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6725 Issued in OR
Legal business name
MICHAEL A BROWN, DMD, PC
Practice address
12014 SE Sunnyside Rd
Clackamas, OR 97015-8381
Phone
(503) 698-6900
Fax
(503) 698-3087
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Mrs. Ann Sands
Title
Accounts Manager
Phone
(503) 698-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 6725 OR Primary

Addresses

Primary practice location

12014 SE Sunnyside Rd
Clackamas, OR 97015-8381

Mailing address

12014 SE Sunnyside Rd
Clackamas, OR 97015-8381
Phone (503) 698-6900

National Provider Directory

National Provider Directory

Locations

12014 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 698-6900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1750613519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12014 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158381",
            "telephone_number": "503-698-6900",
            "fax_number": "503-698-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12014 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158381",
            "telephone_number": "503-698-6900",
            "fax_number": "503-698-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A BROWN, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "SANDS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "503-698-6900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "6725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.