Individual provider Active NPI

Taylor Brown, D.D.S.

  • Dentist
  • San Juan, PR
National Provider Identifier
1750836508
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3525 Issued in PR
Practice address
209 Munoz Rivera Ave
San Juan, PR 00918-1000
Phone
(787) 274-1741
NPI assigned
Aug 22, 2016
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32206 TX
Dentist 122300000X 3525 PR Primary

Addresses

Primary practice location

209 Munoz Rivera Ave
San Juan, PR 00918-1000

Mailing address

59 Calle Kings CT Apt 1103
San Juan, PR 00911-1161
Phone (501) 743-5944

Other practice location 1

7331 Gaston Ave # 160
Dallas, TX 75214-4131
Phone (214) 449-1988

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
32206TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1750836508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CALLE KINGS CT APT 1103",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111161",
            "telephone_number": "501-743-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MUNOZ RIVERA AVE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181000",
            "telephone_number": "787-274-1741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7331 Gaston Ave # 160",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752144131",
            "country_code": "US",
            "telephone_number": "214-449-1988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-22",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32206",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.