Organization Active NPI

Evan W Brown DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chesterfield, MO
National Provider Identifier
1780140459
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EVAN W BROWN DDS INC
Practice address
160 Four Seasons Shopping Ctr
Chesterfield, MO 63017-3104
Phone
(314) 469-0964
NPI assigned
Feb 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Dr. Evan BrownNPI 1003177783
Title
Director
Phone
(314) 469-0964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

160 Four Seasons Shopping Ctr
Chesterfield, MO 63017-3104

Mailing address

160 Four Seasons Shopping Ctr
Chesterfield, MO 63017-3104
Phone (314) 469-0964

National Provider Directory

National Provider Directory

Locations

160 Four Seasons Shopping Ctr
Chesterfield, MO 63017
Phone (314) 469-0964

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": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1780140459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 FOUR SEASONS SHOPPING CTR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173104",
            "telephone_number": "314-469-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FOUR SEASONS SHOPPING CTR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173104",
            "telephone_number": "314-469-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN W BROWN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-469-0964",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.