Richard Stephen Brown, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9559 Issued in FL

Practice address

194 Vining CT
Ormond Beach, FL 32176-6658

Phone

(386) 672-0095

NPI assigned

Jul 24, 2007

Last updated

Jul 24, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 29, 2015 through Sep 29, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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.

• Smillie Dental Ormond PLLC

  dba Smillie Dental

  • General Practice Dentistry
  • Ormond Beach, FL
  • NPI 1801613872
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1760682926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 VINING CT",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766658",
            "telephone_number": "386-672-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 VINING CT",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766658",
            "telephone_number": "386-672-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RICHARD",
        "middle_name": "STEPHEN",
        "credential": "DMD, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Brown, CPT
• Frederick G. Brown, M.D.
• James William Brown, MD
• Lana Esther Brown, L.M.H.C., L.C.P.C.
• Norman Malcolm Brown, PH.D., LMFT
• Teresa Jean Brown, LCSW
• Bruce S Kennedy MD PA
• Rebecca Ann Bruno, DC
• David Bruton, DO
• Melanee Christina Bryans, HIS

• General Practice Dentistry in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.