William Jacob Brown, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

00204404 Issued in CO

Practice address

495 W 4TH St
Dove Creek, CO 81324-4900

Phone

(970) 677-2291

NPI assigned

Jul 21, 2020

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

Enrolled in CO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.brown.p1@direct.ahs.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Colorado Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durango, CO
  • NPI 1932192598

  CO, Single Specialty

  Medicare reassignment NPD
• Southwest Colorado Mental Health Center Inc

  • Family Medicine Physician
  • Pagosa Springs, CO
  • NPI 1619761137
  NPD
• Southwest Colorado Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durango, CO
  • NPI 1376374843
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770508800000",
    "number": "1801404256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MERCURY VILLAGE DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018955",
            "telephone_number": "970-335-2422",
            "fax_number": "970-335-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 W 4TH ST",
            "city": "DOVE CREEK",
            "state": "CO",
            "postal_code": "813244900",
            "telephone_number": "970-677-2291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "811478368",
            "country_code": "US",
            "telephone_number": "970-264-2104",
            "fax_number": "970-335-2438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 W South Boulder Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800271192",
            "country_code": "US",
            "telephone_number": "303-868-2729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "691 E Empire St",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813212802",
            "country_code": "US",
            "telephone_number": "970-565-7946",
            "fax_number": "970-565-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Mercury Village Dr",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018955",
            "country_code": "US",
            "telephone_number": "970-335-2342",
            "fax_number": "970-335-2438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WILLIAM",
        "middle_name": "JACOB",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "00204404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Albin, OTR
• Jennifer Allen, RDH
• Telisa D Armstrong
• Tracey Beanland, RN
• Jennifer Lynne Conway, NP
• Dolores County Commissioners
• Dolores County Health Association
• Dolores County School District Re No.2
• Dolores County Social Services

• All providers in Dove Creek, CO
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.